Claims Specialist Contract

Claims Specialist / Contract - Jericho NY (#25322)

Location:Jericho NY
Employment Type: Full-time Contract (minimum 6 months)
Hourly Rate: $44/hr

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals clinics nursing homes multi-specialty groups and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

Greenlife Healthcare Staffing is currently seeking a Claims Specialist to fill an opening with a Non-profit organization located in Jericho New York. This contract position is ideal for a detail-oriented professional with a background in healthcare business or digital studies who thrives in a collaborative fast-paced environment managing appeal and dispute adjudication programs.

Why Join Us

• Competitive Compensation: Earn a competitive rate of $44 per hour.
• Work Schedule: Full-time position with a contract duration of at least 6 months.
• Professional Growth: Gain valuable experience in claims management appeal adjudication and collaborative project work within a mission-driven organization.
• Impactful Work: Contribute to a non-profit organization dedicated to improving healthcare processes and ensuring accurate claims adjudication that supports providers patients and healthcare plans.

Qualifications:

• Education: Bachelors or advanced degree in healthcare business management digital studies or a related field.
• Experience: 2 years of collaborative project support is preferred; however new graduates will be considered.
• Technical Skills:
  • Knowledge and experience with collaborative project management software.
  • Proficiency with electronic documents and design tools.
  • Familiarity with commercial off-the-shelf and custom software applications for tracking and case management.
• Soft Skills:
  • Excellent written and verbal communication skills including professional phone manners.
  • Strong problem-solving abilities with the capacity to work collaboratively with peers medical staff analytical teams and administrative support.
  • Ability to work independently with little supervision.
  • Flexible innovative and creative mindset with strong multi-tasking abilities.
  • Demonstrated ability to meet deadlines in a time-sensitive environment.

Key Responsibilities:

• 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.

How to Apply:If you are ready to take the next step in your career and make a difference in the healthcare industry we want to hear from you! Submit your Resume/CV to or call our office at to learn more about this opportunity and others we offer.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals Enriching Lives

Required Experience:

IC