King County
Claims Specialist (BFO II)
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Job Description
- Req#: 4987409
- GOVERNMENTJOBS.COM Application (The responses on your job application should be thorough and complete and will be used in the screening process);
- Supplemental Questions (The responses to the supplemental question should be thorough and complete and will be used in the screening process, providing your most recent 7 years of applicable experience if available)
- Following up on unpaid or rejected claims.
- Resolving claim issues.
- Submitting corrected claims.
- Handling appeals.
- Account reconciliation.
- Communicating with insurance companies and other stakeholders.
- Maintain up-to-date knowledge of insurance policies and claim processing procedures.
- Perform other duties as assigned.
- Understanding of insurance claims processing.
- Excellent communication and interpersonal skills.
- Ability to work independently and as a part of a team.
- Attention to detail and accuracy.
- Knowledge of insurance and claim portals.
- Organizational skills.
- Skill in problem solving, decision making and analysis.
- Skill in the use of personal computers and mainframe systems, internet portals, spreadsheet and database management software.
- Knowledge of coding and billing requirements/billing guidelines.
- Knowledge of SERI guidelines.
The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including Black, Indigenous, and People of Color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with lived experiences.
King County's Department of Community and Human Services (DCHS) provides equitable opportunities for people to be healthy, happy, and connected to community by offering a range of services to residents farthest from opportunity.
The Department of Community and Human Services (DCHS) is seeking a skilled, knowledgeable, and highly motivated team player to serve as the Business and Finance Officer II (BFOII) to be the Claim Specialist within the department’s Finance and Contracts Services section.
The BFO II position presents a unique opportunity to an individual seeking to bring their experience and utilize and expand their skills in processing and follow up of insurance claims. This is a new position within the FACS team in the BHRD, (Behavioral Health and Recovery Division).
This position reports directly to the Behavioral Health Accounting Manager (BFO IV). It will collaborate closely with other functional units within the Behavioral Health programs and finance team.
WHO MAY APPLY: This position is only open to qualified internal King County employees that meet the minimum qualifications. The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with lived experiences. Interviews for this selection process will take place on or around August 12, 2025.
This is a Special Duty Assignment (SDA) or Term-Limited (TLT) position anticipated to end August 31, 2027, but subject to change dependent on operational need, could be ended earlier or be extended. This posting has been extended to add eligibility for internal King County TLT employees. If you have previously applied, you do not need to reapply.
Application Process: Please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process, or have questions, please contact the recruiter listed on this job announcement.
The following items are required to be considered for this vacancy:
Your application may be rejected as incomplete if you do not include the relevant information. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state “see my resume” or “see my personnel file” are considered incomplete and will not be accepted.
Additional Job Information
WORK SCHEDULE/CONDITIONS: This position is scheduled to work 40 hours per week, Monday - Friday, 8am - 5pm. This position meets the provisions of the Fair Labor Standards Act and is overtime eligible with supervisory pre-approval. This position is represented by PROTEC17.
MISSION CRITICAL POSITION STATUS: This position has been designated Non-Mission Critical. Unless otherwise directed by the County Executive, department director or agency head, all employees, regardless of designation, are expected to report to work or request leave during an emergency or inclement weather. For more detailed information, please visit HR Policy County Operations During Emergency Situations and the King County Guidelines for Workforce Management in an Emergency .
REMOTE AND ONSITE WORK DETAILS: Employees in this role work remotely from a home location, with onsite reporting requirements. The frequency of onsite work is determined by business needs and may be adjusted accordingly.
REMOTE WORK LOCATION REQUIREMENT: Employees must reside in Washington State and be within a reasonable distance of King County worksites to meet onsite reporting requirements.RECRUITER: Annette Coleman, ancoleman@kingcounty.gov
PREFERRED EXPERIENCE, QUALIFICATIONS, KNOWLEDGE, SKILLS:
Forbes named King County as one of Washington State's best employers.
Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play. Guided by our True North, we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.King County is an Equal Employment Opportunity (EEO) Employer
No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.
To Apply
If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
About the company
King County is located in the US state of Washington.
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