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Claims Integrity Specialist

Company: Ursus, Inc.
Location: San Francisco
Posted on: March 19, 2023

Job Description:

JOB TITLE: Claims Integrity Specialist
LOCATION: Fully Remote - Central Time Hours (8:00 am - 5:00 pm)
DURATION: 4.5+ Months
RATE RANGE: $22-$25

Our Client, a leading Digital Healthcare Company, is seeking Claims Integrity Specialists to join their team!


Our Client's work environment is fast-paced, with a collaborative atmosphere. Most of all, passionate about delivering innovations that improve the quality of health care and the patient experience. If this sounds like you, Please Apply!


  • Perform claims integrity on registrations
  • Researches and identifies all missing insurance information for the member
  • Verifies patient/claimant information, the payer network, in- or out-of-network status, researches any/all information to determine active policy
  • Contacts accounts and patients to obtain corrected insurance information
  • Administrative tasks include: tending to email, overnight shipping, fax, copy, scan, file, office supplies, and 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 of 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.


    • High school diploma required. Bachelor's Degree or relevant experience in healthcare preferred.
    • 2-3 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 is 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


Keywords: Ursus, Inc., San Francisco , Claims Integrity Specialist, Other , San Francisco, California

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