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
COMPANY:
Our Client, a leading Digital Healthcare Company, is seeking Claims
Integrity Specialists to join their team!
SUMMARY:
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!
RESPONSIBILITIES:
- 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.
QUALIFICATIONS
- 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
IND123
Keywords: Ursus, Inc., San Francisco , Claims Integrity Specialist, Other , San Francisco, California
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