New York Licensed Claims Specialist

Job Summary

A company is looking for a Claims Resolution Specialist.

Key Responsibilities

• Contact healthcare providers to negotiate eligible claims for maximum discounts and savings
• Perform provider research and address counteroffers to achieve resolution while adhering to guidelines
• Maintain provider database and ensure compliance with HIPAA protocols

Required Qualifications, Training, and Education

• Minimum high school diploma or GED
• At least 6 months of experience in the healthcare industry; 1 year preferred
• State licensure certification may be required
• Knowledge of applicable laws and general office operations
• Ability to work independently and handle confidential information