Claims Specialist - Healthcare Insurance Professional

Greenlife Healthcare StaffingJericho, NY
1d$35 - $35Remote

About The Position

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Healthcare Insurance Professional role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Requirements

  • 2+ years of insurance company experience
  • Understanding of claims processing and payer guidelines.
  • Strong analytical skills
  • Familiarity with healthcare reimbursement
  • Excellent communication abilities

Nice To Haves

  • Experience with multispecialty coding and billing

Responsibilities

  • Review claims for accuracy and compliance.
  • Assist with appeals and disputes.
  • Interpret payer policies and communicate updates.
  • Identify reimbursement trends and risks.
  • Support the revenue cycle and compliance team.

Benefits

  • Comprehensive benefits package
  • Professional Growth: Develop specialized expertise in healthcare reimbursement
  • Impactful Work: Optimize revenue integrity and financial outcomes
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