claimresolutionspecialist - Albany - beBeeClaimResolution

    beBeeClaimResolution
    beBeeClaimResolution Albany

    1 week ago

    Job title: Claims Adjudicator

    Description

    Claims Resolution Specialist


    The Claims Resolution Specialist plays a vital role in ensuring seamless claims adjudication processes.

    In this position, you will be responsible for resolving provider claims issues through effective communication and problem-solving.


    You will analyze systems, collaborate with operational areas and provider billing teams to address claim issues. Your strong research skills, attention to detail, excellent time-management skills and experience in customer service or clerical roles related to claims are essential assets.


    Fulfilling Requirements:

    • Resolve complex claims disputes through timely intervention
    • Analyze system discrepancies and implement corrective measures as necessary

    Prioritizing Skills:

    1. Bachelor’s degree or relevant work experience equivalent is required.
    2. A minimum of two years’ experience working in healthcare-related positions preferably within insurance companies is highly preferred but not mandatory;

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