Denial Specialist

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!