Claims Solution Specialist

Claims Solution Specialist

22 Nov 2025
Tennessee, Nashville, 37201 Nashville USA

Claims Solution Specialist

Job Description:Our employees whom we call “caregivers,” take pride in the contribution they make to lowering the cost of healthcare and improving the patient billing experience. Our caregivers work together to provide a collaborative, friendly environment and provide quality and individualized service.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.Performs manual charge entry where necessary.Resolves basic to intermediate claims issues not requiring coding certification including adding, removing, and/or changing CPT, HCPCS, and/or ICD codes in accordance with standing orders and/or other standard operating procedures.Physical Requirements:Minimum Qualifications:Medical billing experiencePreferred Qualifications:Professional coding (CPT, ICD, HCPCS) experienceRoot cause analysis experiencePhysical RequirementsInteract with others requiring the employee to communicate information.Operate computers and other office equipment requiring the ability to move fingers and hands.See and read computer monitors and documents.Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.Location:Intermountain Health McKay-Dee HospitalWork City:OgdenWork State:UtahScheduled Weekly Hours:40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$18.00 - $27.42We 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 packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .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.All positions subject to close without notice.

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