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12 days old

Permanent Senior Claims Specialists with 2 to 5 years-experience!

Kelly Services
Braintree, MA 02184
**Job Description**


Hiring for Permanent Senior Claims Specialists with 2 to 5 years- experience for a top organization in Braintree,


Summary:

We are looking for experienced medical claim negotiators needed to combat rising healthcare costs and empower health plans!

The individual filling this role will be responsible for negotiating settlement with facilities and providers on a national basis to reduce healthcare claims costs, among many other tasks, including general consulting on related matters. This position requires an experienced individual that is proactive, persuasive, persistent, respectful, and assertive. The candidate must be comfortable multi-tasking and possess strong communication skills, both oral and written.

Responsibilities include the following.

- Review and prioritize claims based on timelines, client demands, and service level standards.

- Contact facilities and providers to discuss charge adjustments and rationale.

- Contact facilities and explain health plans benefits to resolve payment disputes.

- Draft and review correspondence and agreements pertaining to settlement efforts

- Capture detailed notes on calls for future reference.

- Assist the Provider Relations department with consulting matters as necessary.

- Coordinate with other departments within the company to ensure proper handling of claims.

- Participate in ongoing process improvement to streamline the claim settlement process.

- Ability to properly handle confidential information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Experience and Qualifications:

At least 2 to 5 years- experience in a medical healthcare claims role, preferably involving negotiation, or experience at an insurance company, TPA, or hospital, preferably with emphasis in claims, fee schedules, or contracting.

Bachelors degree (B.A. or B.S.) from an accredited college or university.

Computer literate, including Microsoft Office products.


Please send resumes to 3219@kellyservices.com or call us today at 781-466-3400


**Why Kelly** **** **?**


At Kelly
Services , we work with the best. Our clients include 95 of the Fortune
100 companies, and more than 70,000 hiring managers rely on Kelly annually to access
the best talent to drive their business forward. If you only make one career connection today, connect
with Kelly.




**AboutKelly Services** ****




As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people
around the world and have a role in connecting thousands more with work through our global network of
talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter .


Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,
Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is
committed to employing a diverse workforce. Equal Employment Opportunity
is The Law.
Posted: 2019-08-07 Expires: 2019-09-07

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Permanent Senior Claims Specialists with 2 to 5 years-experience!

Kelly Services
Braintree, MA 02184

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