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Job Description:

The Claims Solution Specialist plays a crucial role in the professional revenue cycle by performing final validation and resolving professional claims issues that do not require coding expertise. Key responsibilities include manual charge entry and collaborating with Claims Solution Specialist-Coders to enhance the efficiency and accuracy of the professional claims process through continuous improvement efforts.

Our Claims Solution Specialists leverage their understanding of the professional revenue cycle to perform final validation and resolution of professional claims issues not requiring coding expertise. They perform manual charge entry and participate with Claims Solution Specialist-Coders in the continuous improvement efforts focused on increasing the efficiency and accuracy of the professional claims process.

Essential Functions

+ Address basic to intermediate claims issues that do not require coding certification.

+ Add, remove, and/or change CPT, HCPCS, and/or ICD codes as per standing orders and standard operating procedures.

Skills

+ ICD Coding

+ Medical Billing

+ Medical Terminology

+ Claims Analysis

+ Healthcare Common Procedure Coding System (HCPCS)

Minimum Qualifications

+ Medical billing experience

Preferred Qualifications

+ Professional coding (CPT, ICD, HCPCS) experience

+ Root cause analysis experience

Physical Requirements:

Physical Requirements

+ Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.

+ Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

+ Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

Location:

Employee Service Center

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.54 - $28.24

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.