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 Provide career and academic counseling, case management and support to members at the 1199SEIU... Training and Employment Funds;ensure academic/career advisement needs are met in a variety of settings, across a range...
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...
, negotiation, and administration for the 1199SEIUFunds Identify inconsistencies in contracts and deviations from the Funds... Timely review requests for and accurately draft various contracts, including but not limited to, using the Funds’ approved...
, 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: 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 Oversee daily office operations across multiple organizational sites in New York (Manhattan, Bronx, Brooklyn, Staten Island, White Plains, Hicksville) and provide operational support to regional offices in Massachusetts, ...
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 numb...
Responsibilities Answer Employee and Labor Relations (ER/LR) inquiries, and provide information requiring comprehensive knowledge of the Collective Bargaining Agreement (CBA) and Fund policies, procedures and operations;provide informati...
Responsibilities Accurately input data based on Enrollment Unit processes Review and verify Member documents for accuracy and validity Communication with internal/external units to ensure Eligibility Department criteria is met Generate...