Job Title: Claims Integrity Specialist

Company Overview: Our client is the national leader in the delivery of superficial radiation therapy services. With partnerships with over 200 practices across the United States and generating over $70 million in revenue, the company is experiencing rapid growth, offering a tremendous opportunity for career development.

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), 15 days PTO first year ,  10 paid holidays.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.