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Provide clerical support to the Eligibility department including but not limited to filing, photocopying, faxing, typing, delivering, etc Review eligibility enrollment documentation prior to distribution Collect and maintain all departmental files Distribute incoming mail and faxes; prepare, collect, open, sort, and date stamp Deliver, sort and pick up interoffice mail Pull documents from the Miss
Posted 1 day ago
Supervise the daily operations of the Hotline Support Unit; direct and monitor the workflow of staff, review production and performance reports to ensure department goals, quality and standards are met and maintained. Assist staff with eligibility questions and complex eligibility updates; Manage the daily deliverables (fast track inquiries from Member Services, Retiree Services, Outreach and Empl
Posted 1 day ago
Record all investments transactions to the general ledger for over forty two (42) investment managers and their corresponding accounts Reconcile assets, income, transfers, gains and losses to the investment custodian statements and investment managers Communicate periodically with the investment custodian bank on any investments activity issues Account for all cash transactions and record to the g
Posted 1 day 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, r
Posted 6 days ago
of 1199SEIU Funds The 1199SEIU Funds provide pension and health benefits for healthcare organizations including leading institutions such as Montefiore Medical Center, Mount Sinai Medical Center, New York Presbyterian Hospital, and NYU Medical Center. These organizations employ a large union workforce. With approximately $12 billion of assets under management, we are one of the largest providers o
Posted 8 days ago
Supervise, direct and monitor the workflow of staff; review production and performance reports to ensure department goals, quality and standards are met and maintained Assist staff with policy questions and complex electronic claims; recall and adjust suspended claims to ensure accuracy of payment based on Fund guidelines Conduct audits of Medical Claims Electronic staff to identify where there ma
Posted 9 days ago
Serve as a resource for Alicare, Member Services and Eligibility department to resolve Paid Family Leave (PFL) claim questions and issues. Conduct calls to members and employers to obtain information. Research and review Eligibility response filed daily and troubleshoot questionable responses Maintain a log of issues and their status regarding PFL claims processing and administration . Including m
Posted 9 days ago
Directs workforce development for industry realignment and manages complex new project in long term care Sets and manages strategic vision in consultation with Home Care Director and Training Employment Fund (TEF) Leadership Team Manages Workforce Development staff, who lead projects and initiatives in all health care settings (including insurance plans, nursing homes, community based organization
Posted 9 days ago
Provide administrative and program support to the English as a Second Language Program Manager and Assistant Director of the Citizenship and Second Language Programs Home Care Fund Work closely with Team Lead to ensure effective implementation and reporting of programs Responsible for data collection, input, and reporting processes and procedures for tracking member progress including rates of att
Posted 9 days ago
Manage Executive Director's and Deputy Executive Director's (DED's) calendars Schedule all meetings and appointments with high level and key stakeholders in the Executive Office of the 1199SEIU Training and Employment Funds (TEF) Assist in preparation, distribution and retention of highly confidential for above meeting Manage Executive Director's and DED's time; by avoiding and identifying conflic
Posted 9 days ago
Act as a confidential Administrative Coordinator supporting the Director of Human Resources (HR) Assist HR leadership team in managing projects, workflow, timeframes and deliverables Resolves administrative problems by analyzing information; identifying and communication solutions Answer a high volume of phone calls; vet and respond to inquiries via phone, email and in person; provide information
Posted 17 days ago
Approve individual provider applications and maintain credentials for the network (Member Choice/ Panel/Delegated) providers Provide supervision to the clerical staff and the Credentialing staff, in accordance with Human Resources Operating Policies and Procedures, established departmental goals, and the provisions of the Collective Bargaining Agreement Upload and maintain provider application sta
Posted 24 days ago
Oversee complex schedules of batch job execution coordinated across multiple software platforms and complex schedules of Electronic Data Interchange (EDI) data exchange with multiple external trading partners Automate workflows for new business requests or internal Information Technology (IT) requests Create, schedule, monitor and troubleshoot batch jobs, file encryption/decryption and File Transf
Posted 24 days ago
R esponsibilities Prepare conference room for meetings and maintain conference room calendar Maintain event set up tracking in shared calendars for needed event supplies Provide staff with supplies for their meetings and events Process vendor invoices and inventory of supplies Assist with maintenance of tracking log for stationery inventory Ensure office supplies and pantry closet are constantly a
Posted 24 days ago
Manage Database Administration (DBA) Team, coordinating off hours support Coordinate the installation, upgrading and patching of Relational Database Management System (RDBMS) systems. Oversee database monitoring, tuning and optimization Capacity planning for all database environments. Control user database access and data security Work with application and system architects and subject matter expe
Posted 24 days ago
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