NY Licensed Claims Specialist

A company is looking for a Claims Resolution Specialist.

Key Responsibilities

Contact healthcare providers to negotiate discounts on eligible claims prior to payment

Perform provider research and address counteroffers to achieve resolution

Maintain compliance with HIPAA and departmental performance metrics

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 within six months of hire

Knowledge of applicable laws and general office operations

Ability to work independently and handle confidential information