Claims Adjustment Specialist I
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![]() United States, New York, New York | |
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Claims Adjustment Specialist I
Job Ref: 109361 Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. Position Overview As a Claims Adjustment Specialist I, the incumbent will be responsible for analyzing standard to complex post-paid healthcare claims that require in depth research to determine accuracy and/or mitigate payment errors. Job Description
Minimum Qualifications
Professional Competencies
#LI-Hybrid #MPH50 |