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Open nowPosted 5 hours ago

Claims Specialist / Contract

Greenlife Healthcare Staffing

Where
Albany, NY, United States
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Your applicationOpen nowClaims Specialist / ContractGreenlife Healthcare Staffing · Albany, NY, United States

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  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Greenlife Healthcare Staffing's own form.

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The clock on this job

Early applications get read.

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Share of postings closed within
  1. 2.3%1 day
  2. 4.6%3 days
  3. 13.5%7 days
  4. 21.8%14 days
  5. 36.6%30 days
  6. 58.9%60 days
This job: posted 5 hours ago

The posting

Claims Specialist / Contract - Jericho or Albany, NY (#25349)

Location: Jericho, NY or Albany, NY Employment Type: Full-time, Temporary/Contract (Monday to Friday) 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 or Albany, NY. This assignment 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.

Requirements

Qualifications:

  • Education: Must have a bachelor's 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, electronic documents, and design.
  • Familiarity with commercial off-the-shelf and custom software applications for tracking and case management.
  • Proficiency in Microsoft Office applications.
  • Soft Skills:
  • Must have the ability to problem-solve and work collaboratively with peers, medical, analytical, and administrative support staff.
  • Must have excellent written and verbal skills, including phone manners.
  • Must have the ability to work independently with little supervision.
  • Must have the ability and desire to be flexible, innovative, and creative while multi-tasking.
  • Must have the 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

Benefits

Why Join Us?

  • Competitive Compensation: Earn a competitive rate of $44 per hour.
  • Comprehensive Benefits:
  • 1 Week of Paid Vacation
  • 6 Major Paid Holidays per year
  • 5 Sick Days (40 Hours) subject to the provisions of the NYS Paid Sick Leave Act
  • License Reimbursement after 1 year of employment
  • Health insurance subject to plan eligibility requirements
  • 401k Matching eligibility after 1 year of employment
  • Benefits from Paychex, such as Payactiv
  • GLHS is a great company to work for with 93% retention of employees 2 years+, excellent Google reviews, and a strong company culture.
  • Work Schedule: Full-time position, Monday to Friday.
  • 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.
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