Insurance and Claims Specialist I
Insurance and Claims Specialist I
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Compensation Grade:
Compensation Details:
Minimum: $53357.00 - Maximum: $53357.00 AnnuallyDepartment
(OHEHR) AI - AIDS InstituteJob Description:
Responsibilities
The New York State Department of Health AIDS Institute has established eight Uninsured Care Programs of which some of these programs have the most comprehensive drug and service coverage in the country. The programs provide access to medical services and medications for all New York State residents with or at risk of acquiring HIV/AIDS. The programs bridge the gap between Medicaid coverage and private insurance and serve as a transition to Medicaid by providing interim assistance to individuals eligible for but not yet enrolled in Medicaid or assistance in meeting spenddown requirements.
The Insurance and Claims Specialist I will be responsible for APIC reimbursement processing; pharmacy primary care home care and APIC payment processing; handle complex fiscal hotline calls; assist providers and participants with the coordination of benefits; assist with staff training; other appropriate related duties.
Minimum Qualifications
Bachelors degree in a related field; OR an Associates degree in a related field and two years of general office secretarial or administrative experience; OR four years of such experience.
Preferred Qualifications
At least one year of experience in a health care program providing services to people living HIV/AIDS.
At least two years of customer service experience in a financial or medical field.
At least two years of medical claims or insurance experience.
Knowledge of COBRA HIPAA and coordination of benefits.
Conditions of Employment
Grant funded position. Compliance with funding requirements such as time and effort reporting grant deliverables and contract deliverables is required.
Valid and unrestricted authorization to work in the U.S. is required. Visa sponsorship is not available for this position.
The selected candidate must reside within a reasonable commuting distance of the official work location specified in the job posting and must also be located in or willing to relocate to one of the following states: New York New Jersey Connecticut Vermont or Massachusetts prior to hire. Telecommuting will not be available.
HRI participates in the E-Verify Program.
Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans
About Health Research Inc.
Join us in our mission to make a difference in public health and advance scientific research! At Health Research Inc. (HRI) your work will contribute to meaningful change and innovation in the communities we serve! At HRI we are on a mission to transform the health and well-being of the people of New York State through innovative partnerships and cutting-edge public health initiatives. As a dynamic non-profit organization HRIplays a crucial role in advancing the strategic goals of the New York State Department of Health (DOH) Roswell Park Comprehensive Cancer Center (RPCCC) and other health-related entities.
HRI offers a robust comprehensive benefits package to eligible employees including:
Health dental and vision insurance -Several comprehensive health insurance plans to choose from;
Flexible benefit accounts -Medical dependent care adoption assistance parking and transit;
Generous paid time off -Paid federal and state holidays paid sick vacation and personal leave;
Tuition support -Assistance is available for individuals pursuing educational or training opportunities;
Retirement Benefits -HRI is a participating employer in the New York State and Local Retirement System and offers optional enrollment in the New York State Deferred Compensation Plan. HRI provides a postretirement Health Benefits Plan for qualified retirees to use towards health insurance premiums and eligible medical expenses;
Employee Assistance Program -Provides educational and wellness programs training and 24/7 confidential services to assist employees both personally and professionally;
And so much more!
Required Experience:
Unclear Seniority
Employment Type
Full-Time
