Claims Integrity Specialist

2 weeks ago


Burr Ridge, Illinois, United States Gable Search Group Full time
{"title": "Claims Integrity Specialist", "description": "Job Title: Claims Integrity Specialist

At Gable Search Group, we are seeking a highly skilled Claims Integrity Specialist to join our dynamic team. As a Claims Integrity Specialist, you will be responsible for managing the day-to-day accounts receivable (A/R) operations, handling written and telephone inquiries from insurance companies, and researching claim denials and preparing and submitting appeals.

Key Responsibilities:

  • Manage the day-to-day accounts receivable (A/R) operations.
  • Handle written and telephone inquiries from insurance companies.
  • Research claim denials and prepare and submit appeals.
  • Ensure accurate and timely medical coding using ICD-10 and CPT coding systems.
  • Maintain knowledge of major insurance carriers, insurance verification procedures, benefits, and referrals.
  • Adhere to HIPAA compliance rules and regulations.
  • Communicate with others in a courteous and effective manner.
  • Collaborate effectively with team members, demonstrating problem-solving skills and excellent judgment.

Requirements:

  • 2 to 3 years of experience in medical coding.
  • Certified Dermatology coder/biller (Preferred).
  • Proficiency in medical terminology, ICD-10, and CPT coding.
  • Familiarity with major insurance carriers and insurance verification processes.
  • Strong understanding of HIPAA compliance rules and regulations.
  • Excellent communication skills, both verbal and written.
  • Ability to work collaboratively with others and demonstrate strong problem-solving skills.

Benefits:

  • Competitive salary.
  • Generous benefits package, including full benefits (medical, dental, vision, life insurance, disability insurance).
  • PTO (Paid Time Off) plan.
  • Matching 401K.
  • Hybrid work arrangement, allowing you to work from home two days per week.

Work Environment:

  • Laid-back, fun atmosphere with a casual dress code.
  • Positive and enjoyable work environment.
", "lang_code": "en-US"}

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