Health systems specialists process medical insurance claims, troubleshoot billing issues, and investigate problem claims in hospitals, insurance companies, and healthcare facilities. A high school education is the minimum requirement, but a two- or four-year college degree in health systems or business is preferred. Strong organizational, mathematical, and communication skills are necessary, as well as the ability to work unsupervised. Job openings can be found through networking, company websites, and online job boards.
Once you become a health systems specialist, you will process medical insurance claims. You will also be responsible for troubleshooting billing issues and investigating problem claims. Possible work environments for you include hospitals, insurance companies, and healthcare facilities. In most cases, you work normal business hours during the week, with free weekends. When working as a health systems specialist, you should be comfortable sitting in a chair, working at a desk, and talking on the phone.
This is a field where experience can trump formal education; however, there are education requirements in many companies. A high school education is the minimum requirement to become a health systems specialist. In many cases, the hiring company also requires a two- or four-year college degree. Your degree must be in health systems or business with an emphasis on health systems. Courses that make you computer proficient are also important, as much of your work will be done on a computer.
If you are unable to obtain a college degree, you must graduate from a vocational school with a certificate in health systems. Research regionally accepted health system certifications and pass exams. In your quest to become a health systems specialist, you must develop skill sets that strengthen your ability to get the job done. Such skill sets include strong organizational and mathematical communication skills. Also, typing skills will come in handy for you. Because some health systems specialists work from home, the ability to do the work unsupervised is important.
Develop a work history that demonstrates your ability to excel when you become a health systems specialist. Duties from previous employers should include the need for a good memory because as a health systems specialist you are expected to memorize and work with revenue codes and procedures. Past employment must also include roles in analytical skills. Previous job that required time on the phone shows your communication skills.
Contact healthcare providers, insurance companies, and hospitals to find out about openings in healthcare systems. Company websites and facility job boards often list job openings. Send your resume to the appropriate department and include a one-page cover letter summarizing your interest and experience. Network through civic organization memberships and check online job boards specializing in the health field. When called for an interview, dress professionally, research the company in question, and use expertise to show the interviewer how much you want to become a health systems expert.
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