New York Licensed Medical Claims Specialist

Job Summary

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

Key Responsibilities

• Negotiate complex claims to achieve maximum discounts and savings
• Perform claim research and analysis to support desired savings
• Maintain provider relationships and partner with internal and external clients

Required Qualifications

• Minimum high school diploma or GED; Bachelor's degree preferred
• At least 3 years of experience in the health care or medical insurance industry
• State licensure certification may be required within six months of hire
• Knowledge of medical coding systems and general office operations
• Ability to work independently and handle confidential information