Claims Integrity Specialist

Claims Integrity Specialist

Join a leading national provider in superficial radiation therapy services, currently managing over 200 practices across the U.S. and generating substantial annual revenue. In this role, you will drive the integrity of our claims process, ensuring efficient accounts receivable management and effective resolution of insurance issues. This fast-growing company offers substantial career advancement opportunities, encouraging professional growth in a supportive, dynamic environment.

Salary: $45,760 - $49,920 per year

Essential Duties and Responsibilities:

Manage day-to-day operations of accounts receivable.

Address inquiries from insurance companies through written and telephone communication effectively.

Investigate claim denials, prepare and submit appeals to ensure timely resolution.

Utilize ICD-10 and CPT coding systems for accurate medical coding to support billing processes.

Maintain up-to-date knowledge of insurance carriers, verification processes, and patient referral procedures.

Ensure compliance with HIPAA rules and regulations across all operations.

Foster teamwork within the department, collaborating on solutions and maintaining effective internal communications. Minimum Position Qualifications:

2 to 3 years of experience in medical billing and coding, specifically in a healthcare environment.

Proficiency in medical terminology and the usage of ICD-10 and CPT coding systems.

Familiarity with operations of major insurance carriers and insights into insurance verification processes.

Demonstrated understanding of compliance with HIPAA privacy and security regulations.

Strong written and verbal communication skills, with an emphasis on clear and effective interaction.

Proven ability to collaborate with team members and operate with high judgment to resolve complex issues. Preferred Qualifications:

Certification as a Dermatology coder/biller.

Previous experience in dermatological or similar medical specializations.

History of achieving significant improvements in A/R cycles through streamlined processes and innovations. Skills:

Advanced proficiency in medical billing software and electronic health records.

Excellent time management and prioritization capabilities.

Detail-oriented with a knack for pinpointing discrepancies in data.

Adaptability and openness to a dynamic, evolving work setting.

Strong analytical skills with a solid foundation in problem-solving. Benefits:

Competitive salary with a comprehensive benefits package including medical, dental, vision, life and disability insurance.

Generous PTO with 15 days in the first year and 10 paid holidays.

Matching 401K plan to support your financial future.

Hybrid workplace model, promoting work-life balance by allowing you to work from home two days a week.

A positive and enjoyable work environment in our Burr Ridge office featuring a casual dress code.