Claims Integrity Specialist

Insight Global is currently seeking an experienced Claims Integrity Specialist that can work either in our Lincolnshire, IL office, or work Remotely. Our work environment is fast-paced with a collaborative atmosphere. Most of all, we are passionate about delivering innovations that improve the quality of health care and the patient experience. We are looking for like-minded individuals to join our team today!



Specific job responsibilities include:



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, 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.

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 highly desired