Eligibility Clerk

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