Medical claims jobs in Borough Of Queens, NYCreate job alerts
- Building Service 32BJ Benefit Funds
Customer Service Representative (CSR)17 days ago$50926.57–$53063.84 yearlyFull-timeManhattan, New YorkJob 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... Mission-driven, internal job growth opportunities Annual Salary Clarification: Non-Bilingual: $50,926.57; Bilingual: $53,063.84 - Per Collective Bargaining Agreement (CBA) 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
Immediate start!No experienceEasy apply - Silvia Paganelli
Medical Receptionist28 days agoPart-timeCanarsie, BrooklynWe are seeking a reliable and detail-oriented Medical Receptionist to join our healthcare team. The ideal candidate will have strong computer literacy, excellent communication skills, and experience in front desk operations. This role is essential for ensuring a smooth patient experience through efficient appointment setting, insurance verification, and claims processing.
Easy apply - Rainbow Medical Supply
Patient Coordinator28 days agoFull-timeGravesend, BrooklynJob Title: Patient Coordinator Reports To: Store Manager / Operations Manager Job Summary: The Patient Coordinator serves as the first point of contact for patients and customers at our medical supplies store. This role is responsible for providing exceptional customer service, managing patient records, coordinating product orders, insurance verifications, and ensuring a smooth and supportive experience for every patient. Key Responsibilities: - Customer Service & Patient Support Greet patients and customers warmly, in-person, by phone, and via email. Assist patients in selecting appropriate medical supplies based on their needs and prescriptions. Educate patients on product usage, care instructions, and store policies. - Order Management & Coordination Process patient orders, coordinate delivery or pickup schedules. Follow up on pending orders and backorders, updating patients accordingly. Manage product inventory levels and communicate restock needs. - Documentation & Insurance Handling Accurately collect and maintain patient records and prescription documents. Verify insurance coverage and benefits for applicable products. Process billing, payments, and insurance claims in coordination with the billing department. - Administrative & Operational Support Schedule patient appointments for consultations or product fittings. Maintain a clean, organized, and professional store environment. Assist with inventory audits, reporting, and daily administrative tasks.
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