‹ Back
WWAYPOINT

Claims Resolution Specialist

Full time
iPosting details
ScheduleFull time
EducationHS diploma/GED · Associate degree preferred
Experience3+ years preferred
SourceUniversal Health Services · posted Sep 30, 2026
✓Requirements
Certifications
✓Certified coder preferred CCA or CCS designation or must be able to obtain certification within one year of employment.
Education
✓High School Diploma or GED required.
Associates degree preferred.
Qualifications
✓Thorough knowledge of CPT, ICD-10 and CDT coding and medical terminology.
✓Ability to plan, organize, maintain priorities and schedules, as well as assure that deadlines are met.
✓Excellent verbal and written communication skills.
✓Ability to interpret health plan benefits and provider contracts.
✓Must be able to deal with difficult customers in a professional manner.
✓Ability to interpret and apply established policies and procedures.
✓Excellent computer skills which must include working knowledge of Microsoft Office Suite.
✓Must be a team player and have the ability to work independently with little supervision.
3+ years’ experience in health care claims processing, preferably in a Medicare environment, including customer service experience. preferred
+Benefits
✓Medical, dental and vision
✓401(k) with match
✓Paid time off
✓Tuition assistance
+Universal Health Services
RENONV · 110 mi to Sacramento
Pay for this position
Employer-posted
$19 – $29/hr
Apply to Universal ServicesContact Recruiter about this role
✓You’ll need
Certifications
✓Certified coder preferred CCA or CCS designation or must be able to obtain certification within one year of employment.
Education
✓High School Diploma or GED required.
Associates degree preferred.
Qualifications
✓Thorough knowledge of CPT, ICD-10 and CDT coding and medical terminology.
✓Ability to plan, organize, maintain priorities and schedules, as well as assure that deadlines are met.
✓Excellent verbal and written communication skills.
✓Ability to interpret health plan benefits and provider contracts.
✓Must be able to deal with difficult customers in a professional manner.
✓Ability to interpret and apply established policies and procedures.
✓Excellent computer skills which must include working knowledge of Microsoft Office Suite.
✓Must be a team player and have the ability to work independently with little supervision.
3+ years’ experience in health care claims processing, preferably in a Medicare environment, including customer service experience. preferred
+Benefits
Medical, dental and vision401(k) with matchPaid time offTuition assistance
Want the next healthcare job in Nevada by email?
Weekly, free, unsubscribe with one click.

About the role

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members.