New York Licensed Claims Specialist

Job Summary

A company is looking for a Claims Resolution Specialist II.

Key Responsibilities

• Contact healthcare providers to negotiate discounts on eligible claims and bills
• Manage a high volume of claims while maintaining departmental performance metrics
• Educate providers on online portal services and handle post-claim inquiries

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 hire
• Knowledge of medical billing, coding, and insurance claim forms
• Ability to work independently and handle confidential information