Claims Specialist

Welcome to Billings Clinic, where our mission is to provide compassionate, quality healthcare to our community. We are currently seeking a highly skilled and motivated Claims Specialist to join our team. As a Claims Specialist, you will play a vital role in ensuring accurate and timely processing of insurance claims, ultimately contributing to the financial success of our organization. We are looking for an individual who is detail-oriented, organized, and has a strong understanding of insurance processes. If you are passionate about healthcare and have the necessary qualifications, we would love to have you on our team.

1. Accurately process insurance claims: The primary responsibility of the Claims Specialist will be to accurately process insurance claims in a timely manner. This includes verifying patient information, insurance coverage, and coding information.
2. Ensure timely submission of claims: The Claims Specialist will be expected to maintain a high level of productivity and efficiency in submitting claims to insurance companies. This will involve keeping track of submission deadlines and following up on any rejected or denied claims.
3. Communicate with insurance companies: The Claims Specialist will be responsible for communicating with insurance companies to resolve any issues or discrepancies in claim processing. This may include providing additional information, appealing rejected claims, or negotiating payment terms.
4. Maintain knowledge of insurance processes: It will be the responsibility of the Claims Specialist to stay updated on the latest insurance policies and procedures, as well as any changes in coding or billing regulations. This will ensure accurate and compliant claim processing.
5. Collaborate with healthcare providers: The Claims Specialist will work closely with healthcare providers to obtain necessary documentation and ensure accurate coding for claims. They will also assist providers in understanding insurance processes and policies.
6. Monitor and analyze claim data: The Claims Specialist will be responsible for analyzing claim data to identify any trends or patterns that may impact claim processing. They will also be responsible for reporting any issues or concerns to management.
7. Maintain confidentiality: As a Claims Specialist, it is essential to maintain patient confidentiality and adhere to HIPAA regulations. They should handle sensitive information with discretion and ensure proper storage and disposal of confidential documents.
8. Provide exceptional customer service: The Claims Specialist will be responsible for providing exceptional customer service to patients, insurance companies, and healthcare providers. This may include answering inquiries, resolving issues, and addressing concerns in a professional and timely manner.
9. Continuously improve processes: The Claims Specialist will be expected to identify opportunities for process improvement and make recommendations to enhance the efficiency and accuracy of claim processing.
10. Uphold the mission and values of the organization: The

According to JobzMall, the average salary range for a Claims Specialist in Billings, MT, USA is between $42,000 and $58,000 per year. However, this can vary depending on the specific company, experience level, and qualifications of the individual. Some companies may offer higher salaries and additional benefits such as bonuses, healthcare, and retirement plans. It is also important to consider the cost of living in Billings, MT when evaluating salary expectations.

Billings Clinic is a health care center in Billings, Montana. Their primary and specialty care clinics are located at Billings Clinic downtown, Billings Clinic Heights, and Billings Clinic West, as well as in Bozeman, Columbus, Miles City, Montana, Red Lodge, and Cody, Wyoming.