[Hiring] Senior Claims Specialist / Insurance Follow-Up @Providence

Role Description

Join a high-impact team where your expertise in claims resolution directly drives revenue and patient care outcomes. As a Senior Claims Specialist, you’ll take ownership of complex insurance follow-ups, working behind the scenes to ensure claims are processed accurately and efficiently.

This fully remote role (Washington residents only) offers the opportunity to collaborate with a dynamic physicians billing team while leveraging your advanced knowledge of payer guidelines, denial management, and revenue cycle operations. You’ll play a critical role in resolving high-level claim issues and minimizing delays.

If you're detail-oriented, thrive on solving complex billing challenges, and want to make a meaningful impact in healthcare operations—this is your next step.

• Follow up on insurance denials and aged claims.
• Submit claims to secondary payers and ensure accurate billing information is submitted.
• Answer all information requests from payers and trace all claims to ensure they have been paid or denied appropriately in a timely manner.
• Re-submit claims to government agencies, medical service bureaus, and insurance companies.
• Submit claims appeals with supporting documentation as necessary.
• Resolve aged insurance balances.
• Act as a resource for billing office staff.

Qualifications

• 2 years related work experience in a health care environment.

Benefits

• Best-in-class benefits designed to support you and your family.
• Retirement 401(k) Savings Plan with employer matching.
• Health care benefits (medical, dental, vision).
• Life insurance and disability insurance.
• Time off benefits (paid parental leave, vacations, holidays, health issues).
• Voluntary benefits and well-being resources.
• Additional compensation may be available (shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities).

Company Description

Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of:

• Eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah, and Olympia).
• Emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett.
• Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound.

We’re dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.