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  • Hospital Claims Relationship Specialist

    Healthfirst (NY)



    Apply Now

    Responsibilities:

    + **_Managing day to day operational issues and concerns from hospital partners including but not limited to roster maintenance and claim issue root cause analysis_**

    + **_Managing education//training regarding company-wide initiatives including but not limited to new product implementation, regulatory initiatives, and other various health plan business objectives_**

    + **_Serving as an advocate for Hospital Providers within Healthfirst_**

    + **_Work closely with numerous departmental partners, including operations, sales and finance_** **_Minimum Requirements:_**

    + **_Highschool Diploma or GED equivalent_**

    + **_Direct experience working with managed care operations and//or health plans_**

    + **_Claims experience including root-cause analysis, system set-up, etc_**

    + **_Strong communication skills (both verbal and written)_**

    + **_Ability to work collaboratively, confidently and influentially various levels of staff and clients_**

    + **_Excellent organizational skills_**

    + **_Demonstrated ability to focus on the most tedious of details, while also being able to solve issues that are larger and more complex_**

    + **_Ability to develop relationships and partner with external and internal business stakeholders_**

    + **_Strong problem-solving skills_**

    + **_Proficiency with Microsoft suite of applications_** **_Preferred Qualifications:_**

    + **_Bachelors degree from an accredited institution_**

     

    WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

     


    Apply Now



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