Bilingual Medical Billing & Eligibility Specialist (Spanish)

Employee Benefits Fund; New York (NY); On-site; USD 53,000 - 65,000; Full time

Benefits offered by this job

Medical, Dental, Pharmacy and Vision

Paid Time Off: Vacation, Personal, S/K

Job summary

Health Center Inc. in Manhattan is seeking an Eligibility Clerk to provide member/customer service in claims and eligibility. You will follow workflows to analyze and communicate outcomes such as eligibility status and denials to members and providers, ensuring accuracy and efficiency.

The role requires at least 1 year in eligibility/claims, medical billing experience, and strong communication skills. Fluency in Spanish is required, with a focus on attentive, detail-driven service in a busy

Qualifications

• Minimum 1 year of eligibility, claims, and insurance experience.
• Medical billing and coding experience mandatory.
• Excellent interpersonal and customer service skills.
• Ability to work independently and handle routine inquiries.

Responsibilities

• Provide member/customer service in claims and eligibility.
• Analyze and communicate eligibility status, payment levels, and denials to members and providers.

Skills

Spanish language

Education

High school diploma

Job description

Health Center Inc. in Manhattan is seeking an Eligibility Clerk to provide member/customer service in claims and eligibility. You will follow workflows to analyze and communicate outcomes such as eligibility status and denials to members and providers, ensuring accuracy and efficiency.

The role requires at least 1 year in eligibility/claims, medical billing experience, and strong communication skills. Fluency in Spanish is required, with a focus on attentive, detail-driven service in a busy