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Denial Specialist

Park NicolletSaint Paul🇺🇸United States

Quick overview

SeniorityMid Senior
Work modeHybrid
LocationSaint Paul, United States
Medical Terminology

Job description

Park Nicollet is looking to hire a Claims Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

Position Summary:

This position ensures that insurance and other 3rd party claims are submitted and/or paid in a timely manner and are compliant with applicable regulations and payer requirements. Specific assignments may include pre-adjudication and/or follow-up, facility and/or professional claims, commercial and/or government payers. Effective performance of these functions helps the organization achieve strong cash flow and maximize patient satisfaction.

Required Qualifications:

Knowledge, Skills, and Abilities:

  • Requires strong attention to detail and demonstrated problem resolution skills.
  • Must be able to effectively communicate verbally and via written documents.
  • Moderate personal computer proficiency with word processing, spreadsheets and email is required (preference for Microsoft Suite).
  • Working knowledge of typical office equipment is expected.

Preferred Qualifications:

Education, Experience or Equivalent Combination:

  • Experience in a health care revenue cycle environment preferred.

Knowledge, Skills, and Abilities:

  • Ability to acquire and retain complex knowledge of department/company processes, government policy/regulation, and payer requirements.
  • Prior medical terminology and procedural/diagnostic coding (CPT, ICD) knowledge will be helpful.
  • Proficiency with Health Information Systems (e.g., Epic) preferred.

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!