What are the responsibilities and job description for the Claims Specialist 1.00 FTE DAY position at Park Nicollet?
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.
Education/Experience:
- High school graduate or equivalent required.
- Experience in a health care revenue cycle environment preferred.
Special Knowledge/Skills/Certifications/Licenses:
- Ability to acquire and retain complex knowledge of department/company processes, government policy/regulation, and payer requirements.
- Requires strong attention to detail and demonstrated problem resolution skills.
- Must be able to effectively communicate verbally and via written documents.
- Prior medical terminology and procedural/diagnostic coding (CPT, ICD) knowledge will be helpful.
Additional Information:
The Organization
At Park Nicollet you're part of something bigger. We're a member of the HealthPartners organization, an award-winning integrated health care system comprised of several organizations. HealthPartners includes a team of 21,000 people dedicated to making a difference for our members, patients and the community. Whether you want to work in direct patient care, or support those who do, you will find a vast variety of job opportunities. Here, your contributions help to improve lives and impact health care for the better. If you want to make a difference, we want you on our team.
Park Nicollet Mission, Vision and Values
Mission: Our mission is to improve health and well-being in partnership with our members, patients and community.
Vision: Health as it could be, affordability as it must be, through relationships built on trust.
Values:
- Excellence We strive for the best results and always look for ways to improve.
- Compassion We care and show empathy and respect for each person.
- Partnership We are strongest when we work together and with those we serve.
- Integrity We are open and honest, and we keep our commitments.
What makes us unique?
At Park Nicollet, we never forget why we're here. Your health and well-being is our top priority and is at the forefront of everything we do. We believe outstanding health care is delivered when we merge the science and intellect of medicine with the compassion, spirit and humanity of our hearts. We refer to this as "Head Heart, Together," and it exists to inspire constant improvement and lasting success. We achieve this by partnering with patients and families in everything from care decisions to service and facility design. As we work together as a unified team, we engage patients, families and the community, and put them at the center of everything we do.
To learn more about our organization, including our award winning care, please visit our website at www.parknicollet.com.