NY Licensed Medical Claims Negotiator

Job Summary

A company is looking for a Medical Claims Negotiator II-Appeals.

Key Responsibilities

• Negotiate healthcare claims with providers to achieve maximum discounts and savings
• Perform claim research and manage a high volume of healthcare claims while meeting client deadlines
• Maintain relationships with providers and collaborate with internal and external clients throughout the negotiation process

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 hire
• Knowledge of medical coding systems and standard medical insurance claim forms is desired
• Experience with software and hardware related to job responsibilities, including MS Office Suite