Claims Integrity Specialist

Toni Group
Burr Ridge, IL, US
$22-$24 an hour
Permanent
Full-time

Job Description

We are currently seeking a full-time Claims Integrity Specialist to join our dynamic team.

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A / R) and handling inquiries from insurance companies.

This role requires a strong understanding of medical terminology, ICD-10 and CPT coding, as well as knowledge of major insurance carriers, insurance verification, benefits, and referrals.

The successful candidate will be adept at researching denials and submitting appeals in a timely manner. Additionally, familiarity with HIPAA compliance rules and regulations is essential for this position.

Responsibilities :

  • Manage the day-to-day accounts receivable (A / R) operations.
  • Handle written and telephone inquiries from insurance companies as required.
  • 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 : Joining our team means becoming part of a creative and energetic group of individuals with a strong drive for success.

As a member of our team, you'll have the opportunity to work with a diverse group of individuals, making every workday fun and exciting.

We offer 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.

Additionally, 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.

If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and become a part of our dynamic team.

8 days ago
Related jobs
Bridgeway Professionals
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

TalentPro Consulting
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

Vogrinc & Short, Inc.
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

Precisionmachining.jobs
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

Dunson & Associates Inc
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

White Willow Staffing
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

Client Staffing Solutions Inc
Burr Ridge, Illinois

Radio Frequency (RF) awareness and environmental monitoring technologies.We are seeking a qualified candidate for the DigitalSignal Processing Engineer position with experience tackling complex digital signal processing challenges.We need individuals who are not only adept at problem-solving but als...

Career Development Partners
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

Professional Recruiting Consultants, Inc.
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...

Abacus Search Staffing
Burr Ridge, Illinois

The Claims Integrity Specialist will be responsible for managing the day-to-day accounts receivable (A/R) and handling inquiries from insurance companies. If you are a highly motivated and skilled Claims Integrity Specialist with a passion for the healthcare industry, we encourage you to apply and b...