NY Licensed Claims Resolution 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 volumes of healthcare claims to maximize savings opportunities
• Perform provider research and address counteroffers to achieve resolution
• Update provider database and ensure compliance with HIPAA protocols

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 general office operations and medical insurance claim forms
• Ability to work independently and handle confidential information