Claims Specialist

Job Title: Claims Integrity Specialist

Position Type: Full-Time | Hybrid Remote (Work from Home 2 Days/Week)
Salary: $45,000 - $50,000 per year (commensurate with experience)

Company Overview:

Our client is the national leader in delivering superficial radiation therapy services, partnering with over 200 practices nationwide and generating over $70 million in revenue. As a rapidly growing organization, they offer tremendous opportunities for career growth and development.

Job Description:

We are seeking a dedicated Claims Integrity Specialist to join our dynamic team. This role is essential for managing accounts receivable (A/R) operations and ensuring timely, accurate insurance claim processing. The successful candidate will leverage their expertise in medical coding, insurance verification, and appeals to maintain the integrity of the claims process while adhering to HIPAA compliance standards.

The position combines on-site and remote work, offering flexibility and a supportive, fun workplace culture.

Key Responsibilities:

• Manage daily accounts receivable (A/R) operations, ensuring accurate and efficient processing.
• Handle written and telephone inquiries from insurance companies.
• Research and resolve claim denials, preparing and submitting appeals promptly.
• Accurately code claims using ICD-10 and CPT coding systems.
• Verify insurance coverage, benefits, and referrals while maintaining up-to-date knowledge of major insurance carriers.
• Ensure compliance with HIPAA regulations and protect patient confidentiality.
• Communicate effectively with team members and external stakeholders in a professional and courteous manner.
• Collaborate with the team to solve problems, improve processes, and maintain high-quality standards.

Requirements:

• Experience: 2–3 years in medical coding.
• Certifications: Certified Dermatology Coder/Biller (preferred).
• Skills and Knowledge:
  • Proficiency in medical terminology, ICD-10, and CPT coding.
  • Strong understanding of insurance verification processes and major insurance carriers.
  • Familiarity with HIPAA compliance rules and regulations.
  • Excellent verbal and written communication skills.
  • Strong problem-solving abilities and attention to detail.

Benefits:

• Compensation: Competitive salary commensurate with experience.
• Insurance: Comprehensive medical, dental, vision, life, and disability insurance.
• Time Off:
  • 15 days of paid time off (PTO) in the first year.
  • 10 paid holidays annually.
• Retirement: Matching 401(k) plan.
• Work Environment:
  • Hybrid remote work flexibility (work from home two days per week).
  • A laid-back, fun office atmosphere in Burr Ridge with a casual dress code.

Salary : $45,000 - $50,000