Eligibility and Claims Clerk

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.

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

NY Hotel Trades Council & Hotel Assoc. of NYC Employee Benefit Funds