Responsibilities Responsible for reconciling and processing Summer Day Camp and Holiday Program provider invoices Open, review and process, Summer Day Camp Reimbursement and Cultural Arts Stipend forms for member reimbursement and provi...
Responsibilities Effectively manage the daily operations, workflow, and supervise clinical and non-clinical staff to provide support for the utilization management, benefits and service coordination and appeal process). Assist in develop...
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...
Responsibilities: Maintain accurate data entry of 199SEIU member information in hospital claims processing system (QNXT) Track and ensure completeness of daily inquires;ensure they are sent to appropriate payment area for adjustment inc...
programs and initiatives;keep track of various resources at the Training and Employment Funds and provide referrals...
Responsibilities Closely communicate and coordinate activities with the union organizers and contributing employers to ensure awareness, readiness and input into sector activities Develop, maintain and coordinate labor-management committ...
customer service to members, as well as accurate and timely information about various programs, the department and the Funds...
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 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...