Claims Specialist
Greenlife Healthcare Staffing
Albany, new york
Claims Specialist / Contract - Lake Success or Albany, NY (#25148)
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 Lake Success or Albany, New York.
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...