Responsibilities Research and determine COBRA eligibility for members, spouses, and dependents of the 1199SEIU... Benefit & Pension Funds Review and process COBRA benefits via the eligibility and enrollment system (V3) Communicate...
Responsibilities Maintain HIPAA compliance while communicating with 1199SEIU members and advocates via telephone..., directories, etc Communicate and explain Retiree Health Benefits (RHB) to retirees (i.e., Medicare Part D and 1199SEIU Medicare...
and enrollment matters at the 1199SEIU Benefit and Pension Funds Resolve issues related to QNXT system, Call Tracking Report, QNXT... level in Microsoft Excel, Outlook and Word required. Good knowledge of 1199SEIU eligibility benefits for all Funds...
Responsibilities: Oversee operational and tactical aspects of multiple or large-scale projects at the 1199SEIUFunds... in developing best practices and tools for project execution and management at the Funds Perform additional duties and projects...
Responsibilities Assist and educate 1199SEIU members and providers with out-of-network fees and out of pocket... expenses on the contracts and benefits of using the Funds network Negotiate and resolve large volume of balance billing...
, queries and reports a must Excellent knowledge eligibility rules, Coordination of Benefits, and 1199SEIU Benefit and Pension... Fund benefits and Funds systems (QNXT, DMS V3, RightFax);experience with fee negotiations and settlements;knowledge...
Responsibilities Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments and full end-to-end case work. Reviews and analyzes medical records, claims data, enrollment data, and other documenta...
. Screen agreements for accuracy in accordance with the 119SEIU Child Care Funds guidelines. Enter Service Provider agreement...
Responsibilities Develop and implement strategic recruitment plans to attract healthcare professionals across various levels leading with a client-centered approach, fostering positive relationships with candidates and stakeholders Work...
Responsibilities Oversee Talent Acquisition Managers and Specialists, ensuring coordinated recruitment efforts across multiple 1199 healthcare networks in NYC (specializing in nursing homes/long term care) to meet employer needs and plac...