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Insurance and Claims Specialist

1 month ago

Albany, New York, United States Health Research Full time
Job Summary

The Insurance and Claims Specialist will provide fiscal hotline and participant support, medical, dental, pharmacy, and home care claims processing, insurance premium processing, payment reconciliation, insurance billing, and account reconciliation. The specialist will also be responsible for recovery efforts and other related duties.

Responsibilities

• Provide fiscal hotline and participant support
• Process medical, dental, pharmacy, and home care claims
• Process insurance premiums
• Reconcile payments
• Perform insurance billing and account reconciliation
• Conduct recovery efforts

Requirements

• Bachelor's degree in a related field
• OR Associate's degree in a related field and one year of general office, secretarial, or administrative experience
• OR three years of such experience

Preferred Qualifications

• At least one year of customer service experience in a financial or medical field
• At least one year of experience as a customer service representative, handling a high volume of hotline calls
• At least one year of accounting experience
• At least one year of medical claims or insurance experience
• Bilingual: English/Spanish

Conditions of Employment

• Grant funded position
• Compliance with funding requirements
• Valid and unrestricted authorization to work in the U.S.
• No visa sponsorship available
• Must report to the official work location and live within commuting distance

About Health Research, Inc.

Health Research, Inc. (HRI) is a dynamic non-profit organization dedicated to 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, flexible benefit accounts, generous paid time off, tuition support, retirement benefits, and an employee assistance program.