Responsibilities Monitor claims processing system (QNXT) to ensure functionality of Hospital claims processing (i.e electronic, imaging, eligibility downloads from V3, pricing verification and pay-to-assignments) Ensure timely/accura...
Responsibilities Cross train Processors and Quality Control Reviewers in the Hospital Claims Department Create advances from providers based on the findings of the Fraud & Abuse Department Review complex claim issues involving 1s...
and Clerical Unit at the 1199 SEIU National Benefit Funds · Provide direction and support to the unit Assistant Manager...
Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually or through claims work flow Validate information entered in hospital claims module (QNXT);deter...
organizations, law firms, union benefit funds, or nonprofit service providers. · Experience reviewing invoices, contracts...
, monitor and report on key metrics · Collaborate with the Funds’ outside fiduciary to implement rates for inpatient...
, employer reports, workers compensation, disability, home mortgage, Cross Fund reports, 1199SEIU Training and Employment Funds...
Responsibilities · Provide strategic and operational leadership to registered nurses and allied clinical staff · Oversee daily operations, ensuring efficient workflows and appropriate staffing levels · Participate in coordinating and ...
Responsibilities · Responsible for the general ledgers of assigned Funds · Obtain and maintain a thorough... closings and ensure proper allocation of expenses to all Funds · Preparing monthly, quarterly and annual financial statements...
Responsibilities · Provide support to Teachers, administrators, and educational leadership. · Assist the Head Teacher and Assistant Teacher with the daily operations of the classroom. · Work with children in small groups or individual...