New York Licensed Claims Specialist

Job Summary

A company is looking for a Claims Resolution Specialist to negotiate healthcare claims for maximum discounts and savings.

Key Responsibilities

• Manage high volume healthcare claims to maximize savings opportunities
• Perform provider research and address counteroffers to achieve resolutions
• Initiate provider calls and educate on online services while maintaining compliance with HIPAA

Required Qualifications

• 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 hiring
• Knowledge of applicable laws and general office operations
• Ability to work independently and handle confidential information