Claims Integrity Specialist
7 days ago
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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