Insurance And Claims Specialist I

Applications to be submitted by March 25, 2026Compensation Grade:P14 Compensation Details:Minimum: $53,357.00 - Maximum: $53,357.00 Annually Positions with a designated work location in New York City, Nassau, Rockland, Suffolk, or Westchester Counties will receive a $4,000 annual downstate adjustment (pro-rated for part-time positions). Department(OHEHR) AI - AIDS Institute Job Description: Responsibilities The New York State Department of Health, AIDS Institute has established eight Uninsured Care Programs, of which some of these programs have the most comprehensive drug and service coverage in the country. The programs provide access to medical services and medications for all New York State residents with or at risk of acquiring HIV/AIDS. The programs bridge the gap between Medicaid coverage and private insurance and serve as a transition to Medicaid by providing interim assistance to individuals eligible for but not yet enrolled in Medicaid or assistance in meeting spenddown requirements. The Insurance and Claims Specialist I will be responsible for APIC reimbursement processing; pharmacy, primary care, home care and APIC payment processing; handle complex fiscal hotline calls; assist providers and participants with the coordination of benefits; assist with staff training; other appropriate related duties. Minimum QualificationsBachelor's degree in a related field; OR an Associate's degree in a related field and two years of general office, secretarial, or administrative experience; OR four years of such experience. Preferred Qualifications At least one year of experience in a health care program providing services to people living HIV/AIDS. At least two years of customer service experience in a financial or medical field. At least two years of medical claims or insurance experience. Knowledge of COBRA, HIPAA, and coordination of benefits.Conditions of EmploymentGrant funded position. Compliance with funding requirements such as time and effort reporting, grant deliverables, and contract deliverables, is required. Valid and unrestricted authorization to work in the U.S. is required. Visa sponsorship is not available for this position. The selected candidate must reside within a reasonable commuting distance of the official work location specified in the job posting and must also be located in or willing to relocate to one of the following states: New York, New Jersey, Connecticut, Vermont, or Massachusetts, prior to hire. This position is fully onsite and does not allow telecommuting.HRI participates in the E-Verify Program. About Health Research, Inc.Join us in our mission to make a difference in public health and advance scientific research At Health Research, Inc. (HRI), your work will contribute to meaningful change and innovation in the communities we serve At HRI, we are on a mission to transform the health and well-being of the people of New York State through innovative partnerships and cutting-edge public health initiatives. As a dynamic non-profit organization, HRIplays a crucial role in 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 -Several comprehensive health insurance plans to choose from; Flexible benefit accounts -Medical, dependent care, adoption assistance, parking and transit; Generous paid time off -Paid federal and state holidays, paid sick, vacation and personal leave; Tuition support -Assistance is available for individuals pursuing educational or training opportunities; Retirement Benefits -HRI is a participating employer in the New York State and Local Retirement System and offers o

Created: 2026-03-16