Claims Specialist - USFHP jobs in United States
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Providence · 23 hours ago

Claims Specialist - USFHP

positionSeattle, WA
timeFull-time
remoteOnsite
seniorityEntry, Mid Level
money$21.01/hr - $32.57/hr
date2+ years exp

Providence is a comprehensive health care organization committed to patient-focused care. The Claims Specialist role involves adjudicating claims, adjusting complex claims, and addressing customer service requests to resolve claim issues.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions
Adjusts complex claims for advanced processing needs
Responds to Customer Service Requests and resolves problem claim situations

Qualification

Claims processing experienceManaged Care operationsSpecialty claim processingIDX healthcare softwareMedicare/Medicaid knowledgeHealth Care Business AdminCustomer service skills

Required

H.S. Diploma or GED or equivalent experience in Health Care Business Administration
2 years in Managed Care operations
1 year of Claims processing experience, in a TPA, MSO, HMO, PHO or large group practice setting
Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health and Encounters)
Information systems supporting the administration of managed care products

Preferred

IDX healthcare software application
CHAMPUS, Medicare and/or Medicaid benefits/programs

Benefits

Retirement 401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources

Company

Providence

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Every day, 119,000 compassionate caregivers serve patients and communities through Providence St.
dateFounded in 2016
location
US
people-size10001+ employees
web-link
http://www.providence.org

H1B Sponsorship

Providence has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2021 (1)

Funding

Current Stage
Late Stage

Leadership Team

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Brad Henry
Chief Executive Officer at Providence Willamette Falls Medical Center
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Ranjit S. Hundal, MD, MBA, CPE, FACP, SFHM
Interim Chief Executive Officer
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