Claims Support Specialist

Job Description

Job Description

We are looking for a Claims Support Specialist to support a healthcare organization in Syracuse, New York. This is a contract position with permanent potential. In this role, you will serve as a key resource for members, providers, and third-party administrators by assisting with claims-related inquiries, researching issues, and ensuring the accurate and timely processing of healthcare claims. The ideal candidate will possess strong problem-solving abilities, excellent communication skills, and experience working in insurance or healthcare-related environments.

Responsibilities:

Respond to patient and provider inquiries regarding claims, coverage, and payments.

Research and resolve claims issues with third-party administrators and internal teams.

Review claims for accuracy and compliance with plan guidelines.

Provide billing and payment support to members and providers.

Maintain accurate documentation and ensure HIPAA compliance.

Deliver excellent customer service and participate in quality improvement initiatives.

High School Diploma or equivalent required.

Previous insurance, healthcare, or claims experience preferred.

Knowledge of Medicare and/or Medicaid is a plus.

Strong customer service, communication, and problem-solving skills.

Ability to multitask, prioritize responsibilities, and meet deadlines.

Ability to handle confidential information with discretion.