Junior software developer • springfield ma
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Holyoke Medical Center is looking for a Sr Insurance Specialist. This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ensure compliance and mentor junior staff, focusing on accurate and timely and cost-effective claims resolution while maintaining strong communication with providers, payers and internal teams. Works all claims as assigned/directed.
DUTIES AND RESPONSIBILITIES:
REQUIRED SKILLS:
QUALIFICATIONS/JOB REQUISITES:
Education: High School Diploma or GED is required, an Associate or Bachelors degree in Health Administration or related study preferred.
Experience: Eight plus (8+) years in the health insurance, hospital business office or claims processing/management.
