What are the responsibilities and job description for the Claims Specialist position at Peak Performers?
Peak Performers is seeking a Claims Specialist for a public health program that helps people access care. In this role, you’ll help ensure claims are entered accurately, reviewed, and processed for payment. You’ll also assist with questions from healthcare providers and program participants.
This is a detail-focused role with a steady volume of work. Training will be provided.
Who You Will Be Working With
You will be working alongside a dedicated state health program team that manages critical financial and healthcare assistance for individuals in need. Operating within a high-volume public health environment, this division works tirelessly to ensure claims are processed quickly, accurately, and securely.
The Peak Performers Difference
- Qualified applicants with chronic medical conditions and/or disabilities receive priority placement.
- Comprehensive medical, dental, and vision insurance coverage available from the first day of the month following 60 days of employment.
- Our employees may participate in a 403(b)-retirement plan.
- We pay weekly through direct deposit.
- In business since 1994 and thousands of job placements.
Major Duties
- Perform high-volume data entry and conduct quality assurance and quality control checks on claim data.
- Adjudicate healthcare claims and generate and distribute payment remittances.
- Assist with Coordination of Benefits (COB) activities and day-to-day claims operations.
- Respond to inquiries from healthcare providers and program participants via phone and email.
- Operate standard office equipment, including multi-line phones, copiers, faxes, and scanners.
What We Are Looking For
- Minimum of 1 year of experience in data entry, general office, or administrative support.
- Proficiency in Microsoft Office 365, with strong skills in Word, Outlook, and Excel.
- Demonstrated ability to maintain strict confidentiality of protected health information (PHI/HIPAA).
- Excellent written, oral, and customer service skills with the ability to correspond professionally with stakeholders.
- Strong organizational skills to manage priorities, work independently or collaboratively, and meet tight deadlines.
Exciting Opportunity Details
- Pay Rate: $21.00 / hour
- Job Duration: 7-month assignment with potential for extension
- Location: Menands, NY 12204 (100% On-Site at Riverview Center)
- Schedule: Monday – Friday, 9:00 AM – 5:00 PM (37.5 hours/week)
- Interview Process: Phone Screens will be conducted by Peak Performers. Following, client interviews will be conducted virtually via WebEx.
- Perks: Free designated employee parking on-site, fully paid training, and no fees for badges or property
Applicants for employment with Peak Performers must possess work authorization that does not require sponsorship for a visa now or in the future.
Peak Performers is an equal opportunity employer and will consider all applicants without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Peak Performers does not accept unsolicited resumes from headhunters, recruitment agencies or fee-based recruitment services.
Custom Job ID: 27-NY-PO3029.2
#LI-Onsite
Salary : $21