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NY Licensed Medical Claims Specialist image - Rise Careers
Job details

NY Licensed Medical Claims Specialist - job 1 of 2

Job Summary

A company is looking for a Medical Claims Resolution Specialist II.

Key Responsibilities
  • Negotiate healthcare claims with providers to achieve maximum discounts and savings
  • Perform claim research and generate agreements through effective communication
  • Manage a high volume of claims while maintaining established performance metrics
Required Qualifications
  • Minimum high school diploma or GED
  • At least 2 years of experience in a service-based industry, preferably in healthcare or medical insurance
  • State licensure certification may be required, with a six-month timeframe to obtain if not already certified
  • Knowledge of medical coding systems and standard medical insurance claim forms is desired
  • Ability to work independently and handle confidential information

Average salary estimate

$60000 / YEARLY (est.)
min
max
$50000K
$70000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

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TEAM SIZE
No info
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
July 16, 2025

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