Claim Edit Specialist - University Healthcare Alliance
  • 1376473025145
  • Claim Edit Specialist

    UHA
    Hayward, CA

    POSITION DETAILS

    An exciting new opportunity exists with University HealthCare Alliance (UHA), Stanford Hospital and Clinics’ new medical foundation.  We currently have a Claim Edit Specialist opportunity available at our Hayward location.

    In this key role the Claim Edit Specialist will be responsible for resolving and managing EPIC claim edits, while adhering to all health plan guidelines.  The incumbent will have a thorough understanding of all aspects of claim related errors and registration requirements.  The Claim Edit Specialist will support the Revenue Integrity team and Insurance Verification unit and communicate registration errors.

    DESIRED SKILLS AND EXPERIENCE

    • High School graduation/GED equivalent required.
    • Minimum 3 years of experience in a healthcare setting, with physician practice in an outpatient setting.
    • Knowledge of medical coding (including CPT4, HCPCs, ICD-9) with EMR experience.
    • Knowledge of Medicare, MediCal, commercial and managed care insurance is preferred.
    • Ability to access State and Federal websites for coding, billing and reimbursement information.

    TO APPLY

    We invite you to send your resume and cover letter to uhacareers@uhahealth.org.  Please include “Claim Edit Specialist” in the subject line.

    Equal Opportunity Employer