Claims Resolution Specialist - NYCSOCW

Job Title: Claims Resolution Specialist

Duties:

• Manage patient accounts by preparing and submitting claims, both electronically and on paper.
• Investigate and resolve claim rejections, denials, and edits efficiently.
• Handle pre-authorizations and follow up on pending claims and balances.
• Provide billing assistance to patients, documenting all communications in the system.
• Monitor and address accounts listed on aging reports, including insurance and patient balances.
• Escalate unresolved cases to supervisors and participate in departmental training.

Skills Required:

• Knowledge of billing systems, claim processing, and financial account audits.
• Strong interpersonal and organizational skills.

Education:

• Bachelor’s Degree preferred; High School diploma with 4+ years of related experience acceptable.

Stipend:

• Weekly: $1,500 - $2,000
• Monthly: $6,000 - $8,000