New York Licensed Claims Specialist

A company is looking for a Medical Claims Resolution Specialist II.

Key Responsibilities

Negotiate health care claims and bills with providers to achieve maximum discounts and savings

Perform claim research and manage a high volume of healthcare claims while meeting departmental performance metrics

Collaborate with internal and external clients and ensure compliance with HIPAA protocols

Required Qualifications

Minimum high school diploma or GED

At least 2 years of experience in a service-based industry, preferably in healthcare or medical insurance

State licensure certification may be required within six months of hiring

Knowledge of medical coding systems and general office operations is desired

Ability to work independently and handle confidential information