Appeals & Dispute Claims Specialist (Contract)

Greenlife Healthcare Staffing, Inc.; New York (NY); On-site; USD 50,000 - 71,000; Full time

Benefits offered by this job

Vacation

6 Holidays per year

Sick days (NY Paid Sick Leave)

License reimbursement

Health insurance eligibility

401k matching eligibility

Paychex benefits

Strong company culture

Job summary

Greenlife Healthcare Staffing, Inc. is seeking a Claims Specialist for a contract role in Jericho, NY or Albany, NY. The position handles appeal and dispute adjudication within a nonprofit setting, requiring collaboration with plans, providers, and patients.

The role emphasizes accuracy, timely actions, and cross-functional teamwork, with a Monday–Friday schedule and a $44/hr hourly rate. Applicants should be detail-oriented and capable of fast-paced multi-tasking in a healthcare context.

Qualifications

• Bachelor''s or higher in healthcare, business, management, digital studies, or related field.
• 2 years of collaborative project support preferred; new grads considered.
• Proficiency with project management software, electronic documents, and design.
• Familiarity with off-the-shelf and custom software for tracking/case management.
• Strong Microsoft Office skills.

Responsibilities

• Act as point of contact for appeal/dispute adjudication programs.
• Coordinate with plans, providers, patients, and clients to gather and submit case documentation.
• Monitor appeal/dispute status and client portal communications.
• Conduct initial eligibility reviews and recommend actions to team/management.
• Track and assign cases using software and share documentation with billers, clinicians and staff.
• Present case status in huddles and scrums using agile approaches.
• Mentor and train new staff on processes and case progression.

Skills

Collaboration

Problem solving

Communication

Independence

Agile familiarity

Education

Bachelor''s degree or higher

Tools

PM Software

Electronic Docs

Design Tools

Case management

MS Office

Job description

Greenlife Healthcare Staffing, Inc. is seeking a Claims Specialist for a contract role in Jericho, NY or Albany, NY. The position handles appeal and dispute adjudication within a nonprofit setting, requiring collaboration with plans, providers, and patients.

The role emphasizes accuracy, timely actions, and cross-functional teamwork, with a Monday–Friday schedule and a $44/hr hourly rate. Applicants should be detail-oriented and capable of fast-paced multi-tasking in a healthcare context.