NY Licensed Claims Resolution Specialist

A company is looking for a Claims Resolution Specialist I. Key Responsibilities Contact healthcare providers to negotiate discounts on eligible claims and maximize savings Perform provider research and manage a high volume of claims while adhering to departmental standards Handle post-claim inquiries 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 standard medical insurance claim forms Ability to work independently and handle confidential information

Jun 17, 2025 - 15:00

A company is looking for a Claims Resolution Specialist I. Key Responsibilities Contact healthcare providers to negotiate discounts on eligible claims and maximize savings Perform provider research and manage a high volume of claims while adhering to departmental standards Handle post-claim inquiries 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 standard medical insurance claim forms Ability to work independently and handle confidential information