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