[Hiring] Claims Specialist @HealthPartners

Role Description

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.

Qualifications

• 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.
• Experience in a health care revenue cycle environment preferred.
• 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

• Competitive benefits package (for eligible positions) including medical insurance and dental insurance.
• Retirement program.
• Time away from work.
• Insurance options.
• Tuition reimbursement.
• Employee assistance program.
• Onsite clinic.
• Comprehensive range of benefits to support health, time off, retirement planning, and continuous learning opportunities.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

Company Description

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 improves 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.