and other benefits available through the 1199SEIUFunds preferred. · Must be available to work evenings and weekends as needed. · Bi...
, employer reports, workers compensation, disability, home mortgage, Cross Fund reports, 1199SEIU Training and Employment Funds...
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 complex, high dollar...
Center (JSF/EC) applications at the 1199SEIU Training and Employment Funds (TEF) Provide excellent customer service...
Responsibilities · Source and review candidate resumes to ensure alignment with job qualifications and healthcare employer needs. · Evaluate candidate profiles for job readiness and identify skill gaps or areas for improvement. · Coll...
of all Funds (NBF, GNY, GNJ) eligibility criteria · Knowledge of eligibility systems and COB guidelines · Excellent oral...
Responsibilities · Serve as the primary on-site liaison with the Strategic Support Division (SSD), landlords, vendors, and building management to coordinate facilities requests and support day-to-day office operations. · Partner with th...
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...
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...