Medical claims processing jobs in Hoboken, New Jersey - Page 2Create job alerts

Job Description Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $72,036 - $94,547 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues., • Compliance with all applicable laws and regulations, • Experience in Payment Integrity focused on Disputes and/or appeals, • 4+ years of experience in claims processing, coding, auditing or health care operations, • 3+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • 2+ years of experience working with large data sets using excel or a database language, • Experience in a professional healthcare claims organization, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionLocation: Jackson Heights, Queens Salary: $60K-$65K Bengali Fluent strongly preferred We are seeking an experienced and detail-oriented Telehealth Operations Manager to oversee and optimize our telehealth services within a growing home care agency. This role is responsible for managing day-to-day telehealth operations, ensuring smooth coordination between clinical teams, insurance providers, and billing departments, and maintaining compliance through Athena software. Key Responsibilities for Telehealth Operations Manager: * Oversee daily telehealth scheduling, workflows, and service delivery. * Ensure providers are properly credentialed and appointments are documented accurately. * Monitor telehealth performance metrics and identify opportunities for improvement. * Develop and implement operational protocols to enhance efficiency. Insurance & Billing Coordination * Verify insurance eligibility and benefits for telehealth services. * Coordinate with billing teams to ensure accurate claim submission and timely reimbursement. * Follow up on denied or delayed claims and resolve discrepancies. * Ensure proper coding and documentation for telehealth encounters. Athena (athenahealth) System Management * Utilize Athena software to manage patient records, scheduling, billing, and reporting. * Ensure accurate documentation within the EMR system. * Generate operational and financial reports. * Train staff on system workflows and best practices as needed. Compliance & Quality Assurance * Ensure telehealth services comply with state and federal regulations. * Maintain HIPAA compliance and patient confidentiality standards. * Conduct audits of documentation and billing processes. * Stay updated on telehealth reimbursement guidelines and policy changes. Team Collaboration & Leadership * Work closely with clinical staff, intake, billing, and leadership teams. * Address operational challenges and implement process improvements. * Support staff training and onboarding related to telehealth services. Qualifications for Telehealth Operations Manager: * 3+ years of healthcare operations experience (telehealth or home care preferred). * Strong understanding of insurance verification, claims processing, and billing workflows. * Hands-on experience with Athena (athenahealth) or similar EMR systems. * Knowledge of medical coding and telehealth reimbursement guidelines. * Excellent organizational and leadership skills. * Strong analytical and problem-solving abilities. * High attention to detail and compliance standards.

Job Description Overview Are you an accomplished Board Certified Physical Medicine and Rehabilitation? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims., • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job., • Returns cases in a timely manner with clear concise and complete rationales and documented criteria., • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers., • Attends orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Job Description Overview Are you an accomplished Board Certified Spine Surgeon or Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims., • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job., • Returns cases in a timely manner with clear concise and complete rationales and documented criteria., • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers., • Attends orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Job Description Senior Accountant - Grants/Contracts & Budget Management Bedford-Stuyvesant Restoration Corporation, founded in 1967, is the nation’s first community development corporation nestled in the heart of Central Brooklyn in Bed-Stuy. Located at Restoration Plaza, a 300,000 square foot commercial complex that offers a mix of retail, dining, recreation and entertainment, this historic organization is steeped in its mission to close the racial wealth gap. We provide direct services across an economic mobility platform centered on workforce development, affordable housing/homeownership, community revitalization, small business development and arts and culture to 60,000 people annually. About the Role The Senior Accountant - Grants/Contacts & Budget Management General Managing Business Admin. & Compliance Officer and is responsible and accountable for processing grants/contracts claims, tracking grant/contact revenues and expenses and ensuring proper and accurate coding of grant/contracts revenues and expenses. Key Responsibilities Works cooperatively with the financial team and departmental/program staff to ensure the sound management of contracts/grants, as well as pass-through grants/contracts projects. He or She is responsible for the accurate and timely input and posting of financial activities for grant/contracts, as well as pass through grant/contracts projects to the accounting system, the timely reconciliation of assigned bank accounts, the timely completion and submission of claims to funding agencies, the development of grants/contracts budgets, communicating with funding agencies and departmental/program staff, producing, updating, reviewing and maintaining reports for grants/contracts, pass-through grants/contracts projects, including claims, general ledger, trial balance, balance sheet, and income statement, as well as associated excel worksheets. Prepare and present reports -budget vs actual & variance with projections. Accounts Payable • Reviews and approves Grants/Contracts check requests for input to the Accounts Payable system and ensures that check requests are contract compliant including that:, • Invoices meet funding agency and the organization's compliance and internal control standards, are in good form, and are fully and properly documented., • Bids/quotes required by funding agencies and BSRC are attached, • Consulting contracts are current, • Check requests are properly authorized and approved, • If required, properly authorized purchase orders are attached, • Expenses are properly coded and classified, • Funding sources are properly and accurately identified, • Expenses are authorized under the funding source budget Payroll • Ensures that the payroll information for grants/contracts is accurate and in-line with budgeted allocations., • Ensures that payroll staff receives pertinent payroll allocation information on a timely basis and payroll expenses are properly recorded against the correct fund, department and grant project id., • Reviews the payroll register and makes necessary adjusting entries to ensure that payroll allocations are in-line with grant/contract budgets, • Meets with departmental/program managers and payroll staff to quickly resolve payroll issues. Cash Receipts • Reviews agency fund transmittal information on a monthly basis to ensure that cash receipts are properly coded and inputted to the correct fund, department and project/grant as well as the correct program year., • Meets with the Cash Receipts Manager and departmental/program managers to resolve any cash receipt issues., • Reviews the cash receipts system to ensure that cash receipts have been accurately recorded and ensures that mis postings and errors are immediately corrected., • Posts cash receipts journals Claims/Voucher/Billings • Prepares monthly contracts/grants claims in accordance with contract requirements and submits claims to funding agency on a timely basis, as required under the funding contract, • Interacts with the funding agencies to ensure that claims are accurate and in compliance, • Interact with external budget analysis and contract managers to seek guidance and firm up compliance, • Attend trainings and workshop or meetings as they relate to your grants and are recommended or required General Ledger Maintenance and Trial Balance Management • Assists with the General Ledger Maintenance and Trial Balance Management, as assigned, which may include:, • Planning and directing ledger accounting for grants/contracts, and pass-through projects, including timely and accurate general ledger, inter-company, inter-funds, and inter-program accounting and maintenance, as well as accounts payable, accounts receivable, and payroll processing that reflects proper and accurate account classification and treatment of accounting transactions., • Monitoring A/P reports, cash disbursement, cash receipts registers, and A/P suspense accounts, the prompt investigation and correction of questioned items, and the prompt clearance of open items for grants/contacts., • Monthly monitoring of the general ledgers of grants/contracts projects for accuracy of classification, and treatment of accounting transactions, and the prompt corrections of mis postings and misclassifications., • Reviewing journal entries for grants/contracts projects, to ensure they are properly and accurately coded., • Ensuring grants/contracts have balanced trial balance, where appropriate. Reconciliations, Closings and Annual Audits • Responsible for the monthly, quarterly, and annual review, reconciliation and closing processes, for grants/contracts projects and associated excel worksheets, and meeting established processing, and reconciliation deadlines. This includes reviewing general ledger accounts for reasonableness, investigating unusual transactions, ensuring mis postings are corrected, ensuring that complete transactions are posted in accordance with GAAP, and ensuring that required schedules are completed on a timely basis, in accordance with established contractual and organizational deadlines. Grants/Contracts Budget Development and Management • In collaboration with departmental/program managers, is responsible for developing grants/contracts budgets on a timely basis., • Responsible for coordinating with Funding Agencies and submitting grants/contracts budgets for approval on a timely basis., • Responsible for preparing grants/contracts budget amendments and modifications for submission to funding agencies on a timely basis and., • Performs timely and relevant grant/contracts budget variance analysis and investigations and makes recommendations for budgetary controls to Finance Management. Grants/Contracts Management and Compliance • Is the expert on contractual/grant requirements and ensures that departmental/program managers are aware of and operates within the guideline of contractual requirements., • Ensures that the financial activities of grants/contracts are consistent with contractual requirements. ·, • May participate in the development of internal controls, policies and procedures that meet the organization's contractual obligations. Contracts/Grants Financial and Grants Audits and Compliance • Participates as assigned in the financial audits and grants/contracts audits., • Ensures that grant/contract audit processes are completed on a timely basis, information is provided to the auditors on timely basis, and corrective action plans are developed and implemented on a timely basis., • Communicates with funding agency representatives on accounting matters and provides the funding agency representatives with requested accounting reports and information. Internal Controls and Compliance • Ensures that grants/contracts operate within the procedural and policy guideline of their contracts and the organization., • Participates in developing, implementing, and maintaining auditing guidelines, timelines, and corrective action plans to ensure compliance with the contractual and governmental obligations of grants/contracts, as well as the organization's audit and internal control objectives. Financial Reporting and Analysis, Fiscal Audits, A-133 Audits, Unaudited and Audited Financial Statements • As assigned, participates in the timely preparation of accurate, complete and reliable, monthly financial statements and accurate trial balances for grant/contracts., • As assigned, prepares timely and accurate schedules, unaudited and audited financial Statements, and notes to the financial statements, as necessary for contracts/grants., • As assigned, provides timely and accurate A-133 information and reports including Federal Awards Schedule, for contracts/grants. Other • Is crossed-trained on accounts payable, cash disbursements, procurement, accounts receivable, cash receipts, and payroll functions and is able to back up these functions., • Performs other accounting duties, as assigned. Process Improvement and Performance Management • Assists in developing and maintaining consistently structured accounting policies and procedures for assigned contracts/grants., • Participates in the continuous improvement in accounting processes, reviews, analysis, and investigations for contracts/grants, to enhance accuracy and efficiency in meeting established deadlines, providing accurate and reliable financial reports, and maintaining contractual compliance. What you bring to the role • Self-directed, solutions-oriented, multi-tasker, with strong communications and organizational skills. • Ability to work under pressure and tight deadlines and adept at managing peak work periods, and changing circumstances., • Tenacious in meeting deadlines and willingness to work late and on weekends, if necessary, to meet claims submission, bank reconciliation, reporting and audit deadline, • Ability to work collaboratively across departments/programs and be responsive to internal and external inquiries. Experience & Qualifications: • At least 5 years progressive senior level accounting experience in non-profit accounting, general ledger management and contract/grants management/accounting. • Accounting or Finance Degree required., • Experience with governmental programs including DHCR-Weatherization Assistance Program, DYCD, HRA, DWCP and SBS a plus. • Experience in preparing Federal Awards schedules and supporting documentation for A-133 audits desired. • Extensive experience with computerized accounting software, and MS Office, particularly excel spreadsheets. What We Offer: Health/medical, dental and vision coverage, 12 paid holidays, a generous PTO bank of 4 weeks, paid sick leave, employee discount program, 403-B, employee assistance program, commuter benefits programs, and other forms of leave and benefits. Salary/Hourly Range: $85,000 to 95,000 Application Process: Please include a resume and cover letter outlining your interests and qualifications when applying for this position. (may include other requirements, e.g writing samples, graphic design samples, etc.)

Job Description Soar With Us! Dassault Falcon Jet proudly provides competitive pay, quality benefits, and programs that support your career advancement and personal development. Our benefits are designed to support you and your family’s health and wellbeing, help you secure a strong financial future, and empower you to be successful in all aspects of your work and life. We are committed to finding the best, brightest, and most dedicated individuals in the aviation industry. Our employees are the key to our success. Soar with us! Why Join Us? Impactful Work: Your expertise will directly contribute to the safety and efficiency of our operations. Growth Opportunities: We support your professional development and offer opportunities for advancement. Collaborative Environment: Work with a team of dedicated professionals who are passionate about aviation. Ready to soar with us? Apply now and be a part of our mission to support the world's greatest business jets! Principal Duties/Responsibilities (Essential Functions): • Responsible for the day-to-day administration and processing of claims including:, • Actively seek all relevant information for proper claim adjudication (i.e. vendor/customer information, Dassault policies, agreements etc.), • Prepare documentation for debiting or crediting customers, process claims (i.e. warranty and commercial program), and categorize expenses, produce documents and reports as required by the Warranty Supervisor., • Document and support all claim coverage decisions, • Adjudicate both customer and vendor claims, maximizing cost recovery for DFJ complying with all existing commercial and warranty policies, • Responsible for customer and vendor follow-up to ensure timely dispute resolution, • Analyze and report on cost recovery trends, providing management with accurate, actionable insights to improve recovery performance and identify process inefficiencies., • Utilize advanced Excel capabilities (e.g., pivot tables, lookup functions, and dashboards, modeling) and analytics tools to support claim analysis, financial reporting, and performance metrics., • Assist in performance dashboards and analytical reports that highlight recovery rates, dispute aging, and cost recovery opportunities., • Coordinate/assist all Dassault support personnel requests (i.e. Spares Account Reps, Field Service Reps, Customer Service Managers, etc.), • Assist in the preparation of company documents (i.e. work instructions, decision letters etc.) and SAP reports related to claim adjudication, • Recover non-repairable parts from customers, to seek replacement from manufacturers, • Initiate invoices, credits or payments to customer based on warranty adjudication., • Prepare and process cross billing activity between DFJ and DA, • Assist in updating a Vendor commercial and coverall policies database from vendor agreements’ information, coordinate with Dassault Aviation., • 4 years’ college degree (preferably technical or aviation) or equivalent experience, • Minimum of three (3) years of general Falcon programs experience, • Minimum of (2) years of experience in a customer or vendor facing position with proven ability to effectively communicate with customers or vendors and address their concerns, • Solid understanding of business and attention to details, • Ability to communicate effectively with both internal and external customers in a professional manner – Excellent verbal and written communication skills, • Strong negotiator capable of navigating complex discussions to secure favorable outcomes while maintaining positive stakeholder relationship, • Ability to handle multiple tasks and coordinate with cross-functional groups to keep schedules and deadlines, • Self-starter who takes initiative and works with minimal supervision, • Proficiency in Excel, including advanced functions, pivot tables, data modeling, and dashboard creation., • Demonstrated ability to interpret financial and operational data to produce accurate, meaningful metrics., • FAA A&P license desired, • Aviation experience, • Knowledge of accounting principles, • Bachelor of Science or related studies, • Office Environment The compensation for this position typically falls between $60,000 and $80,000 per hour/per year. This position is eligible for overtime. Note: the final compensation offered to a successful candidate will depend on several factors that may include but are not limited to the type and years of relevant experience, Falcon-specific experience, relevant education/certifications, geographic location, and shift. Our total compensation package also offers comprehensive healthcare coverage (Medical/Prescription, Dental, Vision), HSA and FSA options, 401k Plan with Company Match, Life Insurance, Disability Benefits, Supplemental Insurance, Group Legal, Paid Time Off, Tuition Reimbursement, Employee Discounts and much more. We are committed to finding the best, brightest and most dedicated individuals in the aviation industry. Our employees are the key to our success. Soar with us.

Job Description Job Title: Member Services Representative (Benefits Specialist) Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm)

Job Description Job Title: Member Services Representative (Benefits Specialist) Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm)

Job Description Overview Are you an accomplished Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims., • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job., • Returns cases in a timely manner with clear concise and complete rationales and documented criteria., • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers., • Attends orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Job Description Job Title: Member Services Representative (Benefits Specialist) Extended Hours Differential Pay Added for Working Extended Hours Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours

Job DescriptionDescription: We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization’s success. Key Responsibilities: • Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems., • Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements., • Verify patient insurance coverage and obtain necessary authorizations., • Follow up on unpaid or denied claims to facilitate prompt resolution., • Maintain detailed and organized records of billing and coding activities., • Stay updated on changes in coding regulations and insurance policies., • Collaborate with healthcare providers and administrative staff to resolve billing issues., • Ensure compliance with all relevant healthcare laws and regulations. Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision care plans, • Health Savings Accounts (HSAs), where applicable, • Flexible Spending Accounts (FSAs), • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Voluntary short-term and long-term disability insurance, • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment), • 401(k) retirement savings plan, • Paid time off (PTO), • Commuter benefits, • Proven experience in medical billing and coding, preferably in a healthcare setting., • Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred., • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology., • Familiarity with electronic health records (EHR) and billing software., • Excellent attention to detail and organizational skills., • Ability to work independently and as part of a team., • Strong communication skills and problem-solving abilities., • Knowledge of healthcare regulations and compliance standards.

Job Description Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Payment Integrity, Itemized Bill Review (IBR) will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual improvement and development of the solutions. You will ensure claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $91,908 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s), • Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services, • Compare billed charges against both payor-specific contracts and industry guidelines to confirm appropriate billing practices., • Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate the accuracy of codes used for services billed., • Review claims eligible under specific reimbursement scenarios: a percentage of charges or those exceeding stop-loss levels, ensuring the claim exceeds the minimum dollar threshold set by the payor, • Prepare clear, concise, and professional documentation of all findings, including savings identified, policy violations, and recommended claim adjustments, • Contribute to the refinement of internal audit processes and tools to enhance efficiency and accuracy in identifying claim inaccuracies, • Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues, coding guidelines, and payor policies, • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies, • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue, • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope, • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change, • Provide training and education to team members when necessary, • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate, • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership, • Compliance with all applicable laws and regulations, • A bachelor's degree or 4+ years of commensurate experience, • 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04), • 4+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • 3+ years of experience working with large data sets using excel or a database language, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Job Title: Member Services Representative (Benefits Specialist) Extended Hours Differential Pay Added for Working Extended Hours Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours

Job DescriptionAbout rag & bone: From our origins in New York in 2002, rag & bone was founded on a belief of uncompromising ideals: a commitment to doing things the right way, not the easy way. To making things that are as original as they are timeless. To being true to ourselves, even when that truth sets us apart from the mainstream. We still believe in the same principles we started with: the easy elegance of classic British tailoring, the authenticity of American workwear, and the originality of our home city, New York. As New Yorkers, community and authenticity have become synonymous with our brand. An inclusive environment at rag & bone upholds our original values by encouraging employee connection and empowering each individual to have a voice on policy, process, and collaboration for a more equitable future. Job Summary: Primary responsibilities: • Oversee the domestic wholesale AR portfolio across Majors, Off-Price, and DOM Specl Accounts, ensuring timely collections and accurate cash application., • Monitor and manage vendor compliance by reviewing portal activity, invoices, and account status., • Reconcile accounts, investigate disputes, and coordinate resolutions across Sales, Customer Service, and Logistics., • Maintain visibility for management through up-to-date AR aging reports and portfolio trackers., • Drive efficiency by partnering with Sales and Customer Service to improve processes around order release, payment reconciliation, and claims handling., • Own the full setup process for new customer accounts, including credit terms, tax documentation, and billing accuracy.Key Responsibilities, • Run daily AR aging reports and follow up on overdue balances; generate and send statements., • Track invoices in vendor portals and update Excel trackers for majors on a monthly cadence., • Manually upload invoices to Revolve on a weekly schedule., • Send weekly prepayment requests (Tuesdays) and follow up to ensure timely application., • Set up new customer accounts end-to-end, ensuring accuracy in credit terms, tax documentation, and billing details., • Respond to a high volume of ad hoc requests and “fire drills” via email, troubleshooting quickly to keep orders, payments, and reconciliations moving., • Partner with Sales and Customer Service to release orders in line with credit limits and resolve claims/payment holds.Qualifications Systems, tools and reports used and frequency: • D365 ERP -- daily (invoice processing, settlements, reporting)., • Excel -- daily (aging reports, trackers, reconciliations)., • Vendor portals (Nordstrom, Neiman Marcus, Revolve, Bloomingdale’s, etc.) - weekly or as needed for invoice tracking and uploads., • Email/Outlook & Teams -- daily (cross-team and client communication).Skills and strengths:, • Strong attention to detail and accuracy in financial tracking and reconciliations., • Ability to stay responsive under pressure, resolving urgent issues quickly via email and cross-team communication., • Process-driven mindset with a knack for building trackers, reports, and automations that increase efficiency., • Collaborative approach, partnering effectively with Sales, Customer Service, and Logistics to resolve disputes and unblock payments. Annual Salary Pay Range $50,000-$55,000 based on experience and qualifications Rules we live by | Rules you live by • Be a Good Human - Be original, be authentic. Stand for diversity, equitability & inclusivity., • Have No Fear - Innovate, solve problems, • Own Every Decision - Work together, get results, • Quality Matters – Not only with product but we see it in our people, • Make S**t Happen - Be disciplined, be competitiveBenefits, • Paid Time Off, • Clothing Allowance, • Generous Employee Discount, • Paid Parental Leave, • Membership to Calm and access to other wellness benefits, • Medical, dental, vision and ancillary benefits Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Powered by JazzHR c9haZB0Ljc

Executive Administrative Assistant.Boys & Girls Club of Clifton - 822 Clifton Ave, Clifton, NJ 07013.About the Boys & Girls Club of Clifton:.Clifton, New Jersey is the third most diverse city in America by languages spoken and has a proud history of being a first stop city for generations of immigra

Assisting with processing payments, co-pays, and outstanding balances. Basic Medical billing experience is a plus.

Medical terminology familiarity. Medical Receptionist – Ophthalmology (FT, M-F, $22-26/hr). We're looking for a professional, detail-oriented medical receptionist to be the welcoming face of our practice and support our patient-focused team.

Health insurance (Medical, Dental and Vision) for full-time employees. Free Membership with partnered On Demand Primary Care (One Medical). Heights Pediatrics is looking for a warm, organized, and dedicated Medical Receptionist to join our family.

Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requirements; Research customer issues and work

Benefits for eligible team members include medical/dental/vision, 401(k), vacation, opportunities for advancement, and ongoing training.

Customer Service Representative.Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative.As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company

We offer a competitive total compensation package that includes: Medical, Dental, Vision, Life, 401K, Paid Vacation & Holidays, and more!.

Legal Administrative Assistant.As an essential member of law firm operations, the Legal Administrative Assistant (LAA) will provide a broad range of legal administrative support to attorneys as well as overflow/back-up administrative support for other legal staff, including peers, as needed across v

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in continuous quality improvement (cqi) teams, consistent adherence to the specific rules and regulations of the bronxcare heal

Schedule: 5x8-Hour 09:00 - 17:00.Want a job close to home? We'll work with you to build the career of your dreams.

Paid Time Off, Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Disability Insurance, 401k Profit Sharing Plan, and Transportation Program.

The New York State Commission on Judicial Conduct is seeking a detail-oriented legal secretary to support attorneys, investigators, and administrative staff with document production, file management, and public-facing intake tasks.The role is ideal for a skilled, reliable professional who thrives in

Join Our Team At Manhattan Motorcars.We are looking for an enthusiastic, upbeat & professional person to staff our reception desk, greet our valued customers & direct callers to the appropriate destination within our state-of-the-art facility.Answering dealership group phones, text messages, and ema

Are you passionate about patient care? Do you have strong communication and leadership skills but have not been able to apply them? Are you looking to become a dermatologic expert on cosmetic and medical treatments? Then this is an amazing opportunity for someone who would like to enhance their care

It's fun to work at a company where people truly believe in what they are doing!.We are seeking a professional and highly organized Receptionist to be the welcoming face and voice at our client's Madison Avenue office.In this pivotal role, you will ensure smooth office operations by managing recepti

We do not discriminate based on race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disa

Registration and Documentation: Collect and verify patient information, insurance details, and medical history accurately. Previous experience in a medical or healthcare receptionist role is preferred. Knowledge of medical terminology and insurance procedures is advantageous.

Part Time Medical Front Desk Receptionist (Rheumatology).

We are looking for a dental receptionist to join our team.The ideal candidate will have experience working in a dental office and will be able to handle all aspects of the front desk duties.Responsibilities include but are not limited to scheduling appointments, answering phones, and managing patien

Join Our Team At Manhattan Motorcars.We are looking for an enthusiastic, upbeat & professional person to staff our reception desk, greet our valued customers & direct callers to the appropriate destination within our state-of-the-art facility.Answering dealership group phones, text messages, and ema

Front Desk Receptionist Part Time (3-6 shifts per week).Super convenient location within a few blocks of the 2, 3, 4, 5, A, C, J, Z, R, W and Path trains!!.Blo is the industry leader, with over 100 North American locations and growing.Blo is a recognized brand with an international presence in the

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Live Nation strongly supports equal employment opportunity for all applicants regardless of age (40 and over), ancestry, color, religious creed (including religious dress and grooming practices), family and medical care leave or the denial of family and medical care leave, mental or physical disabil