Manager, Hospital Claims
Manhattan, NY · On-site
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 ...
Manhattan, NY · On-site
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 ...
Manhattan, NY · On-site
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 ...
Manhattan, NY · On-site
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 ...
Manhattan, NY · On-site
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 ...
Manhattan, NY · On-site
$104K - $130K/yr
Exempt 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 ...
Manhattan, NY · On-site
$104K - $130K/yr
Exempt 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 ...
Bronx, NY · On-site
$125K - $156K/yr
... Funds Job Classification: Exempt Responsibilities • Oversee Talent Acquisition Managers and Specialists, ensuring coordinated recruitment efforts across multiple 1199 healthcare networks in NYC ...
Bronx, NY · On-site
$125K - $156K/yr
... Funds Job Classification: Exempt Responsibilities • Oversee Talent Acquisition Managers and Specialists, ensuring coordinated recruitment efforts across multiple 1199 healthcare networks in NYC ...
Responsibilities Oversee Talent Acquisition Managers and Specialists, ensuring coordinated recruitment efforts across multiple 1199 healthcare networks in NYC (specializing in nursing homes/long term ...
Responsibilities Oversee Talent Acquisition Managers and Specialists, ensuring coordinated recruitment efforts across multiple 1199 healthcare networks in NYC (specializing in nursing homes/long term ...
Responsibilities Oversee Talent Acquisition Managers and Specialists, ensuring coordinated recruitment efforts across multiple 1199 healthcare networks in NYC (specializing in nursing homes/long term ...
Responsibilities Oversee Talent Acquisition Managers and Specialists, ensuring coordinated recruitment efforts across multiple 1199 healthcare networks in NYC (specializing in nursing homes/long term ...
New Rochelle, NY · On-site
$37.07/hr
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 ...
New Rochelle, NY · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$37.07/hr
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 ...
Guion, AR · On-site
$55/hr
New Rochelle, New York Grant Funded: No Department: MNR Interventional Radiology Bargaining Unit: 1199 Work Shift: Night Work Days: NIGHTS VARY Scheduled Hours: 12 AM-8 AM Scheduled Daily Hours: 7.5 ...
Guion, AR · On-site
$55/hr
New Rochelle, New York Grant Funded: No Department: MNR Interventional Radiology Bargaining Unit: 1199 Work Shift: Night Work Days: NIGHTS VARY Scheduled Hours: 12 AM-8 AM Scheduled Daily Hours: 7.5 ...
Guion, AR · On-site
$55/hr
New Rochelle, New York Grant Funded: No Department: MNR Interventional Radiology Bargaining Unit: 1199 Work Shift: Night Work Days: NIGHTS VARY Scheduled Hours: 12 AM-8 AM Scheduled Daily Hours: 7.5 ...
Guion, AR · On-site
$55/hr
New Rochelle, New York Grant Funded: No Department: MNR Interventional Radiology Bargaining Unit: 1199 Work Shift: Night Work Days: NIGHTS VARY Scheduled Hours: 12 AM-8 AM Scheduled Daily Hours: 7.5 ...
Documents direct patient care This is an hourly position covered by the Ohio Health Care SEIU/1199 ... Education and Development Opportunities (Employee Development Funds, Public Service Loan ...
Documents direct patient care This is an hourly position covered by the Ohio Health Care SEIU/1199 ... Education and Development Opportunities (Employee Development Funds, Public Service Loan ...
Documents direct patient care This is an hourly position covered by the Ohio Health Care SEIU/1199 ... Education and Development Opportunities (Employee Development Funds, Public Service Loan ...
Documents direct patient care This is an hourly position covered by the Ohio Health Care SEIU/1199 ... Education and Development Opportunities (Employee Development Funds, Public Service Loan ...
Hartford, CT · On-site
$31.83/hr
No-cost training and education funding for career expansion * 401(k) Retirement Program * Career ... Other benefits through the 1199 Healthcare Employees Union * Full-time, part-time, and per diem ...
Quick apply
Hartford, CT · On-site
$31.83/hr
No-cost training and education funding for career expansion * 401(k) Retirement Program * Career ... Other benefits through the 1199 Healthcare Employees Union * Full-time, part-time, and per diem ...
This is an hourly position covered by the Ohio Health Care SEIU/1199 bargaining unit (union) , with ... Education and Development Opportunities (Employee Development Funds, Public Service Loan ...
This is an hourly position covered by the Ohio Health Care SEIU/1199 bargaining unit (union) , with ... Education and Development Opportunities (Employee Development Funds, Public Service Loan ...
Manchester, CT · On-site
$31.83 - $34.83/hr
No-cost training and education funding for career expansion * 401(k) Retirement Program * Career ... Other benefits through the 1199 Healthcare Employees Union * Full-time, part-time, and per diem ...
Manchester, CT · On-site
$31.83 - $34.83/hr
No-cost training and education funding for career expansion * 401(k) Retirement Program * Career ... Other benefits through the 1199 Healthcare Employees Union * Full-time, part-time, and per diem ...
Rocky Hill, CT · On-site
$31.83 - $34.83/hr
No-cost training and education funding for career expansion * 401(k) Retirement Program * Career ... Other benefits through the 1199 Healthcare Employees Union * Full-time, part-time, and per diem ...
Quick apply
Rocky Hill, CT · On-site
$31.83 - $34.83/hr
No-cost training and education funding for career expansion * 401(k) Retirement Program * Career ... Other benefits through the 1199 Healthcare Employees Union * Full-time, part-time, and per diem ...
Manchester, CT · On-site
$21.22/hr
No-cost Training and Education funding for career expansion * Extensive on-site training and ... Other benefits through the 1199 Healthcare Workers Union * Full-time, part-time, and per diem ...
Quick apply
Manchester, CT · On-site
$21.22/hr
No-cost Training and Education funding for career expansion * Extensive on-site training and ... Other benefits through the 1199 Healthcare Workers Union * Full-time, part-time, and per diem ...
$39.5K - $52.7K
1% of jobs
$64.8K is the 25th percentile. Wages below this are outliers.
$52.7K - $66K
26% of jobs
The median wage is $78.3K / yr.
$66K - $79.2K
24% of jobs
$79.2K - $92.4K
4% of jobs
$92.4K - $105.6K
6% of jobs
$105.6K - $118.9K
7% of jobs
$118.9K - $132.1K
5% of jobs
$133.2K is the 75th percentile. Wages above this are outliers.
$132.1K - $145.3K
3% of jobs
$145.3K - $158.5K
14% of jobs
$158.5K - $171.8K
3% of jobs
$171.8K - $185K
5% of jobs
$39.5K
$104.1K
$185K
| Aspect | 1199 Funds | 1199 Union Representative |
|---|---|---|
| Primary Role | Manage healthcare benefits and funding for members | Represent and advocate for union members' rights |
| Required Credentials | Knowledge of healthcare administration, certifications vary | Union training, negotiation skills, certifications often required |
| Work Environment | Office-based, healthcare industry settings | Union offices, member sites, sometimes on-site at workplaces |
| Employer & Industry Usage | Healthcare organizations, insurance providers | Labor 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.
Cities with the most 1199 Funds job openings:
States with the most job openings for 1199 Funds jobs include:
The top searched job categories for 1199 Funds jobs are:

Manhattan, NY • On-site
Full-time
Medical
Posted 13 days ago
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 timeSourced by ZipRecruiter
Insurance services and funds, trusts and financial programs
501 - 1,000 Employees
New York, NY, US