• Performs quality checks to maintain the integrity of events and criteria for reporting purposes.
• Processes members’ electronic documents, proof of data for inaccuracies, and any other missing information.
• Resolves discrepancies identified using standard procedures and/or returning incomplete documents to their respective departments for correction and resolution.
• Responds and coordinates field assignments for Interpreters by checking availability and assigning staff as appropriate taking location into consideration.
• Facilitates manual mailings for other departments.
• Move existing members, auto-enrollees and dis-enrollments to and from the appropriate line of business lists in the centralized NY State Uniform Assessment System (UAS) for Integrated Products.
• Additional duties as assigned.

Minimum Qualifications:

• HS diploma/GED

Preferred Qualifications:

• Ability to prioritize and follow through on assigned tasks.
• Proficiency in navigating the Internet.
• Ability to work with multiple electronic documentation systems simultaneously.
• Ability to troubleshoot or explain basic hardware and software errors and work with a Technician remotely to perform step-by-step repairs.
• Work experience with an electronic patient health information (PHI) database (medical records database).
• Microsoft Excel skills including edit, search, sort/filter, format using already created pivot tables to locate information.
• Data entry/database management experience with Microsoft Excel and other systems/ applications.
• Attention to detail performing quality checks and proofreading.
• Work experience in a healthcare environment.
• Knowledge of Medicare, Medicaid, or managed care and medical terminology.

Since we care so greatly about our employees' and members' wellbeing, Healthfirst has implemented various COVID-related health and safety requirements for our workforce. Employees are expected to follow the Company’s current COVID-19 or other infectious disease health and safety protocols, including local requirements, which may include sharing information regarding your vaccine status and mask wearing. Protocols may change in the future with the evolving public health landscape. Healthfirst will consider accommodation requests as required by applicable law.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $38,200 - $49,920

• All Other Locations (within approved locations): $33,300 - $47,840

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

• The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.