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Claims Specialist

Park Nicollet Methodist Hospital
medical insurance, dental insurance, tuition reimbursement
United States, Minnesota, St. Louis Park
6500 Excelsior Boulevard (Show on map)
Jan 16, 2025

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:



  • High school graduate or equivalent required.
  • Ability to acquire and retain complex knowledge of department/company processes, government policy/regulation, and payer requirements.
  • Requires strong attention to detail and demonstrated problem resolution skills.
  • Must be able to effectively communicate verbally and via written documents.


Preferred Qualifications:



  • Experience in a health care revenue cycle environment
  • Prior medical terminology and procedural/diagnostic coding (CPT, ICD) knowledge


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!

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