Responsibilities Review financial, college academic, and professional certification documents to determine sufficiency for data entry into TEF’s database and dissemination of benefits Implement standard operating procedures (SOPs) to...
Responsibilities: · Review suspense reason of medical claims and determine actions to be taken to handle edit · Verify information entered in medical claims system (QNXT) is correct, including patient’s name, provider tax identification...
Responsibilities: Represent the Funds in various benefit litigation matters in federal and state courts Provide... and regulations Provide legal support in all areas regarding labor and employment matters involving Funds staff, including...
Responsibilities · Work closely with Quality Assurance RN Manager to assist members with newly diagnosed diabetes (DM) and members with known DM and high A1Cs and gaps in care. · Telephonically contact members and providers to develop m...
Company Overview: The 1199SEIUFunds are among the strongest and largest labor-management funds in the nation... Funds, 1199SEIU members enjoy complete health benefits, a defined monthly pension at retirement and training, educational...