Senior Claims Specialist / Insurance Follow-Up - Physicians Billing (REMOTE - WA Residents Only)

 

Join a high-impact team where your expertise in claims resolution directly drives revenue and patient care outcomes. As a Senior Claims Specialist, you’ll take ownership of complex insurance follow-ups, working behind the scenes to ensure claims are processed accurately and efficiently.

This fully remote role (Washington residents only) offers the opportunity to collaborate with a dynamic physicians billing team while leveraging your advanced knowledge of payer guidelines, denial management, and revenue cycle operations. You’ll play a critical role in resolving high-level claim issues and minimizing delays. 

If you're detail-oriented, thrive on solving complex billing challenges, and want to make a meaningful impact in healthcare operations—this is your next step.

Senior Claims Specialist follows up on insurance denials and aged claims, submit claims to secondary payers, and ensure accurate billing information is submitted.  Answer all information requests from those payers and trace all claims to those payers making sure they have been paid or denied appropriately in a timely manner.  Re-submit claims to government agencies, medical service bureaus, and insurance companies.  Submit claims appeals with supporting documentation as necessary and resolve aged insurance balances.  Act as resource for billing office staff.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• 2 years Related work experience in a health care environment.

Why Join Providence? 

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.  We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. 

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position.  The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a 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 and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.