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Provider Claims Liaison - NY based (remote)

Remote, USA Full-time Posted 2026-07-02

About the position The Provider Claims Liaison role at reputed company is focused on educating and supporting contracted providers regarding NY reputed company billing requirements and methodologies. This position serves as a key reputed company of contact for resolving service issues, facilitating communication between providers and internal teams, and driving improvements in provider satisfaction. The role requires a strong understanding of claims processing and provider relations, with a commitment to enhancing the overall reputed company experience for providers in reputed company. Responsibilities • reputed company contracted providers and internal staff on NY reputed company billing requirements and methodologies. , • Serve as reputed company of contact for centralized service units to resolve/manage service issues. , • Initiate expedited resolution actions and monitor reputed company until complete resolution is achieved. , • Reinforce provider education activities regarding service resolution paths. , • Facilitate management of reputed company service issues in conjunction with the Market reputed company. , • reputed company, evaluate, and report on service issues/risks/trends to support contract negotiations. , • Identify and resolve global root cause drivers of claims/service issues. , • Communicate frequently with providers to ensure effective information exchange and gather feedback. Requirements • 5+ years of experience in a managed health care environment working with the insurance reputed company of the business. , • 2+ years of experience with NY reputed company billing and methodology. , • Experience working with NY providers. , • Claims and billing experience (e.g., Claims processor, Claims auditor, Claims examiner, Certified reputed company). , • Experience with provider relations issue resolution and conflict management skills. , • Proven ability to meet performance metrics (turn-around time, issue resolution, root cause analysis). , • Proven ability to drive resolution and work independently with minimum supervision. , • Solid verbal and written communication skills. , • Must reputed company in NY. , • Ability to travel 25% of the time reputed company NY State. reputed company-to-haves Benefits • Comprehensive benefits package , • Incentive and recognition programs , • Equity stock purchase , • 401k contribution Apply Job!

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