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Claims Specialist (Contract to Hire)
Job Description
Exciting Claims Specialist Opportunity!
Location: Bronx, NY
Schedule: 40 hours per week – 2 days in-office, 3 days remote
Compensation: $28 - $30 per hour (Depending on Experience)
Benefits:
Why This Role is Perfect for You:
Are you looking to take your career in healthcare claims management to the next level? This Claims Specialist position offers the perfect balance of challenge, growth, and flexibility. You’ll enjoy the opportunity to work remotely for 3 days a week while still collaborating with a team in the Bronx for 2 days in-office.
With competitive pay, excellent benefits, and a chance to make a real impact, this is your opportunity to thrive in a role where your expertise is valued and your contributions are recognized.
Perks & Benefits You’ll Love:
What You’ll Do:
As a Claims Specialist, you will:
What We’re Looking for:
We’re seeking a professional with the following qualifications:
Ready to Take the Next Step?
If you're eager to join a dynamic team where your expertise will be valued, apply now! This is an incredible opportunity to bring your healthcare claims experience to a role where you can make a tangible impact.
Location: Bronx, NY
Schedule: 40 hours per week – 2 days in-office, 3 days remote
Compensation: $28 - $30 per hour (Depending on Experience)
Benefits:
- Comprehensive medical benefits
- 401(k) with company match
- Paid time off
- Work-life balance with hybrid work schedule
- Career growth opportunities
- A supportive, dynamic team environment
Why This Role is Perfect for You:
Are you looking to take your career in healthcare claims management to the next level? This Claims Specialist position offers the perfect balance of challenge, growth, and flexibility. You’ll enjoy the opportunity to work remotely for 3 days a week while still collaborating with a team in the Bronx for 2 days in-office.
With competitive pay, excellent benefits, and a chance to make a real impact, this is your opportunity to thrive in a role where your expertise is valued and your contributions are recognized.
Perks & Benefits You’ll Love:
- Flexibility: A hybrid work schedule gives you the freedom to work remotely 3 days a week.
- Comprehensive Benefits: Health coverage, 401(k) with company match, and paid time off.
- Career Growth: Take on meaningful work and advance your skills with a clear path for professional development.
What You’ll Do:
As a Claims Specialist, you will:
- Manage claims processing: Review claims, resolve provider disputes, and perform root cause analysis to identify areas for improvement in claims workflows.
- Collaborate and communicate: Work closely with providers, vendors, attorneys, and other stakeholders to ensure claims are processed in compliance with contractual and regulatory guidelines.
- Analyze and improve: Generate detailed reports, identify trends, and suggest process enhancements to improve claims accuracy and reduce errors.
- Educate and guide: Assist providers with billing procedures and coverage guidelines while helping to configure compensation grids for reimbursement.
- Lead the charge: Provide feedback on system configurations, claim workflows, and improve processes to prevent future issues and enhance efficiency.
What We’re Looking for:
We’re seeking a professional with the following qualifications:
- Experience: 8+ years in insurance or healthcare, with a focus on claims adjudication and experience in Medicaid/MLTC and managed care.
- Skills: Strong proficiency in MS Excel, Word, PowerPoint, and experience with claims processing systems.
- Knowledge: Familiarity with CPT, ICD, DRG, and other healthcare coding systems.
- Education: A Bachelor’s degree is required. Additional certifications like Certified Professional Coder (CPC) are a plus.
- Problem-Solving: You’re detail-oriented and an effective communicator who can handle complex claims-related issues and drive solutions.
Ready to Take the Next Step?
If you're eager to join a dynamic team where your expertise will be valued, apply now! This is an incredible opportunity to bring your healthcare claims experience to a role where you can make a tangible impact.
Meet Your Recruiter
Rebecca Randolph
Talent Acquisition Specialist
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Start your journey towards an exciting career in the vibrant Bronx, New York! Nestled within the heart of the Big Apple, the Bronx offers job seekers a unique blend of urban charm and endless growth opportunities. Home to iconic landmarks like the Yankee Stadium, Bronx Zoo, and New York Botanical Garden, this dynamic borough boasts a rich cultural tapestry, diverse cuisine, and a thriving arts scene with galleries and theaters showcasing local talent. Consider pursuing your career in the Bronx to immerse yourself in its enchanting atmosphere and be part of a community teeming with potential for professional development and personal fulfillment. Explore our job listings today and take the first step towards a rewarding career in this remarkable region.
