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Provide excellent customer service to 1199SEIU members, vendors, and assigned educational institutions in the Tuition Assistance department of the 1199SEIU Training and Employment Funds Ensure accurate and timely collection and processing of Tuition Assistance (TA) applications, conduct quality assurance, and assist members in the TA admissions room, over the phone, or email Maintain accurate info
Posted 3 days ago
Provide excellent customer service to 1199SEIU members, vendors, and assigned educational institutions in the Tuition Assistance department of the 1199SEIU Training and Employment Funds (TEF) Ensure accurate and timely collection and processing of Tuition Assistance (TA) applications, conduct quality assurance, and assist members in the TA admissions room, over the phone, or email Maintain accurat
Posted 3 days ago
Provide programmatic and administrative support to the Program Specialists in the Adult Education department Schedule members for classes, arrange class logistics (classroom space, equipment, books and materials); liaise with instructors, and organize all logistical aspects of various Adult Education programs Learn the functionalities of the Leaner Management System to assist with tracking registr
Posted 3 days ago
Oversee financial operations across 25 Funds and 501c3 organizations in a fashion that provides accountability and cost effective management, while ensuring accurate cash forecasting. Project short and long term cash needs accurately for each of the 25 organizations, which will require interfacing with investments and actuaries, developing or having intimate understanding of complex underlying ana
Posted 6 days ago
Communicate by telephone and make outbound calls to member advocates, and interpreters concerning all 1199SEIU Fund benefits and programs Receive inbound reports and complete report which includes emails, voicemails and incoming faxes within 24 hours Distinguish the benefit plans per Fund; identify their appropriate enrollment and eligibility rules and required documentation Maintain HIPAA complia
Posted 9 days ago
Enter data accurately and efficiently based on a review and verification of source and legal documents to ensure they meet the Enrollment Unit criteria Request pertinent legal documentation from 1199SEIU members Update member records via hard copy and soft copy Provide clerical support to the Eligibility department including but not limited to filing, photocopying, faxing, delivering, etc Forward
Posted 9 days ago
Communicate with doctors, hospitals, and other professionals via telephone regarding 1199SEIU members, dependent eligibility for health benefits, claims, and other plan services Verify and determine eligibility for members, spouses, dependents, including the reinstatement of terminated coverage Research and request documentation for provider enrollment, credentialing and provider file updates Rese
Posted 14 days ago
Conduct audits and provide training assistance to staff in the Medical Claims Department Examine and finalize complex surgical, medical, vision, hearing aid and Medicare Part B claims; resolve pending, and re pricing edit 671 for non vendor claims, call tracking records, appeals, and explanation of benefits (EOB's) Review and audit work production; research and appropriately apply credit refunds,
Posted 14 days ago
Examine medical claims for completeness of information Number claims sequentially if necessary Data enter claims in the claims processing system (QNXT) based on information given by the provider, verify eligibility in Vi Tech system Process Medicare Part B, Medicaid, Vision, Hearing Aid and Speed Claims (as necessary) Manually price claims when required, resolution of claim edits Enter appropriate
Posted 14 days ago
Responsible for the design and development of new web based applications and enhancement of existing applications as the business requires Develop and optimize database programs to support development during all stages of a project Understand and translate customer's requirements and needs into technical solutions Translate knowledge from user's interaction to generate and maintain proper document
Posted 14 days ago
Resolve all Fast Track inquiries related to Coordination of Benefits and the Consolidated Omnibus Budget Reconciliation Act (COB/COBRA) eligibility enrollments from Outreach and Member services in a timely and efficient manner Generate and analyze production and error ratio reports and report findings to management team Review game time stats; assist with department stats and production goals Assi
Posted 14 days ago
Contact qualified participants to offer and schedule employment interviews Conduct phone screens and determine if applicants have the appropriate qualifications and experience Sort resumes according to employment goals and distribute to recruiters to expedite processing of applicants Handle general information calls and provide accurate training eligibility information to members Serve as back up
Posted 15 days ago
Liaison between the hospital network and the 1199SEIU Benefit and Pension Funds; service the needs of hospitals ensuring constant and ongoing communication, relationship management, and provider education Conduct contract management by responding to provider inquiries via email, telephone and written correspondence; ensure providers understand and adhere to their contracts, fee schedule, Fund poli
Posted 15 days ago
Provide training and coaching to diverse audiences comprised of health care workers of various backgrounds throughout the five boroughs Conduct small and large group trainings and coaching of health care professionals in fast paced ambulatory sites Ensure care team members gain the desired team building skills and can demonstrate the desired level of proficiency in those skills Develop curricula a
Posted 16 days ago
Communicate with doctors, hospitals, and other professionals via telephone regarding 1199SEIU members, dependent eligibility for health benefits, claims, and other plan services Verify and determine eligibility for members, spouses, dependents, including the reinstatement of terminated coverage Research and request documentation for provider enrollment, credentialing and provider file updates Rese
Posted 16 days ago
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