Claims Integrity Specialist at Advanced Group in Chicago, Illinois

Job Description:

Our client, a leading healthcare organization, is looking for a remote Claims Integrity Specialist to join their growing team. This role pays $20-22/hr.

Job duties:

• Perform claims integrity on registrations.


• Research and identify all missing insurance information for the member.


• Verify patient/claimant information, the payer network, in- or out-of-network status, researches any/all information to determine active policy.


• Contact accounts and patients to obtain corrected insurance information.


• Administrative tasks include: tending to email, overnight shipping, fax, copy, scan, file, office supplies, general correspondence to ensure efficient follow up correspondence & operations.
  


• Maintain confidentiality of patient data and medical records in compliance with HIPAA regulations.


• Comfortable and capable utilizing various communication tools including IM and video conferencing to enable virtual work collaboration.


• Maintain consistent work presence and impact during normal business hours and be available for ad hoc check-in's with managers and/or team leads.


• Deliver on challenging work objectives, including meeting daily, weekly and/or monthly productivity metrics.


• Produce high quality, high volume work by leveraging self-motivation and initiative in a remote work environment.
  


• Assist and cross train in other departments as business needs dictate and during critical times.

Requirements:

• High school diploma required. Bachelor's Degreeorrelevant experience in healthcare preferred.


• 2+ years of experience with health insurance claims.


• 2+ years of experience providing patient communication, researching, and documenting patient insurance information.


• Excellent communication and customer service skills with a focus on assisting patients in a healthcare environment.


• Strong attention to detail, time management and organizational skills.


• Experience with Microsoft Office, Customer Relationship Management systems, and Provider Engagement Portals required. Salesforce experience highly desired.

• Possess a secure work area conforming to HIPAA guidelines.


• Self-awareness to find creative solutions to remote challenges.


• Resourcefulness and high levels of emotional intelligence to identify obstacles and collaborate with others to discuss potential solutions.

How do I apply?

If this sounds like something you'd be interested or would like to hear more about, let's connect! Please, forward your resume tosbahena@advancedresources.com.

About Advanced Resources

Advanced Resources is Chicagoland's top award-winning source for Technology, HR, Accounting & Finance, Healthcare, and Office talent. Since 1988, Advanced Resources has helped thousands of professionals with their careers and hundreds of companies in their quest to obtain top talent. There are many staffing firms, but only Advanced Resources focuses on Insight, Results, and Excellence. Our goal is to deliver a staffing experience unlike any other.

It is Advanced Group's practice not to discriminate against any employee or applicant because of sex, race, color, age, national origin, religion, gender identity or expression, sexual orientation or sexual preference, pregnancy or maternity, genetic information, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.