Claims Specialist Contract
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Job Location:
New York City, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
13 hours ago
Vacancies:
1 Vacancy
Job Summary
JOB TITLE (#24995B): Claims Specialist / Contract - Remote
Preferably has 2 years of collaborative project support
Greenlife Healthcare Staffing is currently seeking a Claims Specialist to fill an opening with a Non-profit organization located in New York NY
REQUIREMENTS:
- Must have a bachelors or advanced degree in healthcare business management digital studies or a related field.
- 2 years of collaborative project support is preferred; however new graduates will be considered.
- Must have knowledge and experience with collaborative project management software electronic documents and design.
- Must have the ability to problem-solve and work collaboratively with peers and medical analytical and administrative support staff.
- Must have excellent written and verbal skills including phone manners.
- Must have the ability to work independently with little supervision.
- Must have the ability and desire to be flexible innovative and creative while multi-tasking.
- Must have the ability to meet deadlines in a time-sensitive environment.
Benefits of the Claims Specialist:
- The salary for this position is $39/ hr
- This is a Full-time position
- 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment)
- 6 Major Paid Holidays per year
- 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act
- License Reimbursement after 1 year of employment
- Health Insurance is subject to plan eligibility requirements
- 401k Matching eligibility after 1 year of employment
Responsibilities of the Claims Specialist:
- Act as point-of-contact for appeal/dispute adjudication programs.
- Liaise with healthcare plans providers patients and clients to coordinate requests correspondence and submission of case documentation as necessary.
- Monitor appeal/dispute status and communication received on client portals.
- Conduct initial eligibility reviews and recommend a course of action to internal team and department management.
- Track and assign cases using commercial off-the-shelf and custom software applications.
- Review and provide case documentation to assigned billers/coders nurses physicians and clinicians internal teams and key stakeholders to facilitate clinical and coding reviews.
- Monitor and measure key performance indicators including but not limited to timeliness adherence to quality and accuracy standards and deadlines for contract deliverables.
- Identify barriers and roadblocks in work processes recommend solutions to solve problems and execute approved solutions.
- Routinely present case/project status in huddles and scrums while using an agile iterative approach to implementation and data presentation.
- Schedule regular team status meetings and record decisions (e.g. assigned tasks and next steps).
- Prepare billing invoices at the conclusion of cases submit them to the Finance department and liaise with accounting to track and trend payments
- Mentor and train new staff at all levels on process steps and case progression.
- Other activities as may be deemed necessary
Greenlife Healthcare Staffing is a nationwide recruitment agency matching both new grads and advanced practitioners to hospitals clinics nursing homes multi-specialty groups and private practices.
If you would like to learn more about other opportunities we offer please call our office: or submit your Resume/CV to
Required Experience:
IC
About Company
Greenlife Healthcare Staffing connects healthcare professionals with facilities, streamlining hiring for quality care and efficiency.
