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AppleOne
Fee Schedule Specialist
Career Insights for Claims Adjuster / Specialist (General)
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Scorecard
Based on New York data
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What they do
A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
$81,405 / year median in New York
+2% projected growth
Job Description
Fee Schedule Specialist AppleOne - 3.8 Grand Island, NY Job Details Temp-to-hire $50,000 - $65,000 a year 1 day ago Benefits 401(k) 3% Match Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Paid sick time Qualifications Medicare Regulatory compliance in claims processing Direct client contact Mid-level Workers' compensation insurance knowledge Certified Professional Coder Health insurance knowledge Medicare regulations Compliance documentation Claims documentation review Centers for Medicare & Medicaid Services (CMS) billing regulations Medical explanation of benefits reviews Billing issue inquiries Medical Billing Certification Healthcare coding investigations Medical terminology Documentation review Full Job Description Job Summary We are seeking a detail-oriented Fee Schedule Specialist for a temp-to-hire opportunity in Grand Island, NY. This role is ideal for a medical billing, coding, or bill review professional who enjoys analytical work, reimbursement accuracy, and healthcare claims compliance. The Fee Schedule Specialist will review and process medical bills for New York State Workers' Compensation and Auto/No-Fault claims, applying fee schedules, Medicare methodologies, PPO contracts, and client-specific reimbursement guidelines. This is an excellent opportunity to grow within the healthcare reimbursement and insurance services field while working with experienced professionals in a collaborative, supportive environment. This position offers strong career development potential, exposure to specialized reimbursement practices, and a hybrid schedule with potential to transition to fully remote work. Candidates with CPC-A, CPB, CPC, or related certifications are strongly encouraged to apply. Key Responsibilities Review and analyze medical bills, records, and supporting documentation for accuracy, compliance, and reimbursement determination. Apply New York State Workers' Compensation and Auto/No-Fault fee schedules, Medicare methodologies, PPO contracts, and client-specific reimbursement guidelines. Interpret