Hospital Claims Specialist
Healthfirst
**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:**
+ 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.
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