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.

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.

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.

ABOUT US

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Please refer the Job description for details