Claims Clerk

MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus’ network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Purpose of Position:

This position is responsible for performing various tasks within the Claims Processing Unit. Responsibilities include but are not limited to the daily activities associated with the receipt and distribution of incoming claim receipts and inquiries received via mail or through internal referrals. Incumbent is responsible for maintaining accurate records and files.

• A four-year High School Diploma or its education equivalent and one year of satisfactory clerical experience
• Keyboard familiarity with the ability to type at a minimum of 100 key strokes (20) words per minute
• Be able to handle a large volume of work
• A working knowledge of Microsoft Office is required

Professional Competencies :

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication