Claims Integrity Specialist

2 months ago


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

Company Overview:

Gable Search Group is a leading provider of staffing solutions for the healthcare industry. With a strong reputation for delivering high-quality candidates, we are committed to helping our clients achieve their business goals.

Job Description:

We are seeking a highly skilled Claims Integrity Specialist to join our team. As a Claims Integrity Specialist, you will be responsible for managing the day-to-day accounts receivable (A/R) operations and handling inquiries from insurance companies.

Key Responsibilities:

  • Manage the day-to-day accounts receivable (A/R) operations, ensuring accurate and timely processing of claims.
  • Handle written and telephone inquiries from insurance companies, providing excellent customer service and resolving issues in a timely manner.
  • Research claim denials and prepare and submit appeals, ensuring compliance with regulatory requirements.
  • Ensure accurate and timely medical coding using ICD-10 and CPT coding systems, maintaining knowledge of major insurance carriers and insurance verification procedures.
  • Adhere to HIPAA compliance rules and regulations, maintaining confidentiality and security of patient information.
  • Communicate effectively with team members, demonstrating problem-solving skills and excellent judgment.

Requirements:

  • 2 to 3 years of experience in medical coding and billing.
  • 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.

Benefits:

Gable Search Group offers a competitive salary, a generous benefits package, which includes full benefits (medical, dental, vision, life insurance, disability insurance), a PTO (Paid Time Off) plan, and a matching 401K. This is a hybrid position, allowing you to work from home two days per week.

Work Environment:

Our Burr Ridge office offers a laid-back, fun atmosphere with a casual dress code, creating a positive and enjoyable work environment.

Salary:

Salary is commensurate with experience.



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