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1199 Funds Jobs (NOW HIRING)

Responsibilities Responsible for the day-to-day operations of Hospital Claims Department in the Processor and Clerical Unit at the 1199 SEIU National Benefit Funds Provide direction and support to ...

Responsibilities Responsible for the day-to-day operations of Hospital Claims Department in the Processor and Clerical Unit at the 1199 SEIU National Benefit Funds Provide direction and support to ...

New Rochelle, New York Grant Funded: No Department: MNR Physmed Pool OT And Speech Therapy Bargaining Unit: 1199 Work Shift: Day Work Days: MON-FRI Scheduled Hours: Hours Vary Scheduled Daily Hours ...

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1199 Funds information

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$39.5K

$104.1K

$185K

How much do 1199 funds jobs pay per year?

As of Aug 28, 2026, the average yearly pay for 1199 funds in the United States is $104,054.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $148,000.00 per year, depending on experience, location, and employer.

What is 1199 Funds?

1199 Funds are a group of benefit funds established by the 1199SEIU healthcare workers union to provide health, retirement, training, and other benefits to eligible union members and their families. These funds are designed to support the well-being and professional development of healthcare workers in the 1199SEIU union. Benefits typically include health insurance, pension plans, education opportunities, and legal services. The 1199 Funds are funded through employer contributions negotiated by the union and are managed independently to serve the needs of members. Eligibility and specific benefits may vary based on employer agreements and employment status.

What are the key skills and qualifications needed to thrive as a Benefits Administrator at 1199 Funds, and why are they important?

To thrive as a Benefits Administrator at 1199 Funds, you need strong knowledge of employee benefits administration, compliance regulations, and experience with benefits processing, usually supported by a relevant degree or HR certification. Familiarity with HRIS systems, benefits management software, and proficiency in Microsoft Office are typically required. Excellent attention to detail, strong organizational skills, and clear communication abilities make a candidate stand out in this role. These skills ensure accurate benefits management, regulatory compliance, and effective communication with members, which are crucial for supporting unionized healthcare workers.

What are some common challenges faced by employees working at 1199 Funds, and how can new hires prepare for them?

Employees at 1199 Funds often work in fast-paced environments where they handle sensitive member information and complex benefit questions. New hires may find it challenging to learn the intricate details of union benefits and navigate frequent changes in healthcare regulations. To prepare, it's helpful to familiarize yourself with union benefit structures, stay current on industry updates, and develop strong communication and problem-solving skills. Team collaboration is highly valued, so being proactive in seeking guidance from more experienced colleagues can also ease the learning curve.

What is the difference between 1199 Funds vs 1199 Union Representative?

Aspect1199 Funds1199 Union Representative
Primary RoleManage healthcare benefits and funding for membersRepresent and advocate for union members' rights
Required CredentialsKnowledge of healthcare administration, certifications varyUnion training, negotiation skills, certifications often required
Work EnvironmentOffice-based, healthcare industry settingsUnion offices, member sites, sometimes on-site at workplaces
Employer & Industry UsageHealthcare organizations, insurance providersLabor unions, employee advocacy groups

While both roles are involved in the healthcare and labor sectors, 1199 Funds primarily focus on managing healthcare benefits and funding, whereas 1199 Union Representatives advocate for members' rights and negotiate on their behalf. Understanding these differences helps clarify career paths and job expectations within the healthcare union industry.

More about 1199 Funds jobs

What cities are hiring for 1199 Funds jobs?

Cities with the most 1199 Funds job openings:

What states have the most 1199 Funds jobs?

States with the most job openings for 1199 Funds jobs include:

Infographic showing various 1199 Funds job openings in the United States as of August 2026, with employment types broken down into 77% Full Time, 21% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $104,054 per year, or $50 per hour.

Manager, Hospital Claims

Manhattan, NY • On-site

1199SEIU Funds
Insurance Services • 501 - 1,000 employees

Full-time

Medical

Posted 13 days ago


Job description

Responsibilities

        Responsible for the day-to-day operations of Hospital Claims Department in the Processor and Clerical Unit at the 1199 SEIU National Benefit Funds 

        Provide direction and support to the unit Assistant Manager and Supervisors in overseeing work distribution and completion; optimizing workflows; monitoring inventory; responding to audits; compiling production reports; resolving repricing vendor issues; conducting staff coaching and performance reviews

        Ensure timely and accurate processing of hospital claims, correspondence, and Call Tracking tickets according to 1199 Summary Plan Description (SPD) guidelines, member benefits and eligibility parameters, coordination of benefits (COB), regulatory and pre-authorization requirements, Medicare National Correct Coding Initiative (NCCI) rules, ClaimsXten provider and repricing network contract terms and timeframes, and the Fund's departmental policies

        Manage staff in accordance with departmental, Human Resources guidelines and Collective Bargaining Agreement (CBA) provisions; review and assess staff performance and Quality Assurance audit results; coordinate staff  training, and take corrective action when necessary to ensure staff meets departmental goals and needs, Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Compliance standards

        Monitor daily QNXT reports, work queue distribution/completion in the Document Management System (DMS), QNXT Pend Workflow, and QNXT Call Tracking systems

        Assist in the resolution of complex and escalated issues; release claims at the high-dollar manager level

        Develop policies and procedures; identify areas of opportunity; engage in continuous process improvement 

        Work with Care Management, Provider Relations, Liens, QNXT Production Support, IT, Eligibility, and third-party vendors as needed to resolve outstanding claims issues

        Oversee testing related to QNXT upgrades, system enhancements, and external vendor processes 

        Serve as backup to the department's Assistant Director and Quality Control Reviewer Unit Manager in their absence, to ensure operational activities are achieved and projects are completed

        Prepare and maintain attendance and lateness records; approve weekly payroll timecards

        Participate in provider and third-party vendor conference calls regarding billing/reimbursement issues and trends, as well as Contract Interpretation and Joint Operating Committee meetings

        Perform additional duties and projects as assigned by management

Qualifications

        Bachelor's Degree or equivalent years of work experience required

        Minimum of five (5) years hospital claims processing, quality assurance, auditing experience required; to include a minimum of two (2) years supervisor experience 

        Strong knowledge of CPT, ICD-10, HCPCS, UB-04 and hospital reimbursement methodologies; good understanding of hospital contracts

        Knowledge of eligibility, medical terminology, third-party reimbursement and COB

        Basic skill level in Microsoft Word and Excel preferred

        Strong leadership skills required; able to make independent decisions concerning management, planning, scheduling, and assignment of work; excellent time management and data reporting skills 

        Strong analytical, critical thinking, interpersonal and communication skills (written and oral)

        Excellent organizational skills; able to multi-task, work well under pressure, prioritize and follow up

Employment Type: Full time