Claims Specialist

 Posted 15 hours ago
     
2-5 years experience
Apply Now

Please mention DailyRemote when applying

AI Summary

The Claims Specialist is responsible for the accurate and timely processing of accounts while ensuring compliance with governmental and managed care regulations. They must research and resolve claim rejections and report any trends or delays to management.

Position Title

Claims Specialist

Days - Full Time

Remote

Position Summary / Career Interest:

The Claims Specialist is responsible for accurate and timely action on accounts. This position complies with governmental and managed care rules and regulations. Meets department goals as well as productivity and quality standards.

Responsibilities and Essential Job Functions
  • Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
  • Confirms receipt of daily billing files by the claims clearing house.
  • Researches and resolves any claim rejections within designated timeframes.
  • Reports any claim rejection trends or delays to management.
  • Submits paper claims and supporting documentation as required by payers.
  • Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
  • These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience
  • High School Graduate or GED.

Preferred Education and Experience
  • 2 or more years of experience working in Epic.

Time Type:

Full time

Job Requisition ID:

R-56355

Important information for you to know as you apply:

  • The health system is an equal employment opportunity employer.  Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.  See also Diversity, Equity & Inclusion.

  • The health system provides reasonable accommodations to qualified individuals with disabilities.  If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.

  • Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

Need help finding the right job?

We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

Similar Jobs

See all Remote Finance jobs →

Personalize your Remote Job Search in 3 Easy Steps!

Discover remote opportunities in Finance

Answer easy questions

Answer easy questions

200,000+ jobs across 15+ categories

Get your best job matches

Get your best job matches

Only hand-screened, legit jobs

Find a remote job faster

Find a remote job faster

No ads, scams, or junk

I was the first applicant for a remote marketing position that got listed on the company website the same day I applied. Had an interview within 48 hours!

Sarah J. — Sarah J. · Marketing Manager ★★★★★ Verified