Posted 5d ago

Eligibility Clerk

@ NY Hotel Trades Council & Hotel Assoc. of NYC Employee Benefit Funds
New York, New York, United States
$57k/yrOnsiteFull Time
Responsibilities:analyzing eligibility, communicating outcomes, serving members
Requirements Summary:Minimum 1 year in eligibility/claims/insurance; HS diploma; strong communication; detail-oriented; MS Office; able to work independently under pressure; multilingual skills a plus; legal experience a plus
Technical Tools Mentioned:Microsoft Office
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Job Description

Health Center Inc. (also known as The New York Hotel Trades Council and Hotel Association of NYC, Inc Employee Benefit Funds) is a NYC based healthcare organization with ambulatory care facilities staffed with a wide range of health professionals to provide extensive medical and diagnostic services. We have an opening for an Eligibility Clerk based out of our Central Administration location in Manhattan. 
 

Summary:

The primary purpose of this position is to be responsible for providing member/customer service in the areas of claims & eligibility. Following departmental workflows and policies/procedures, employee will analyze and communicate outcomes (eligibility status/payment levels/denials) to members and providers.

Position Qualifications: 

  • Minimum of 1 year of eligibility, claims, and insurance experience
  • Minimum high school diploma or equivalent.
  • Excellent interpersonal and customer service skills.
  • Ability to work independently, handle routine inquiries and resolve issues with minimal supervision.
  • Excellent organizational skills and attention to detail.
  • Proficient Microsoft Office skills (Excel, Word, Outlook)
  • Strong oral and written communication skills.
  • Ability to work under pressure, meet deadlines and multitask. 
  • Spanish, Mandarin, or Cantonese speaking a plus
  • Legal Experience a plus

We offer a competitive salary including, but not limited to, the following benefits:

  • Medical, Dental, Pharmacy and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents
  • Paid Time Off (Vacation, Personal, Sick days, and 12 paid Holidays)
  • 401(k) Plan
  • Life Insurance
  • Tuition Reimbursement
  • Mental Health Coverage
  • Legal Services Benefit
  • Short Term Disability Benefits