Just pay $20 and get your dream job within 2 days ( Only For OPT Candidates ) HURRY UPENROLL NOW

Claims Coordinator

1199SEIU Family of Funds – New York, NY


  • Consult and assist supervisors, manager in coordinating, distributing and finalizing Medicare Secondary Payer (MSP) cases and Medicaid reimbursement and Reconsideration claims
  • Verify member eligibility, review, organize and confirm essential documentation is appropriate
  • Audit all files once Quality Control Reviewers have reviewed and completed spreadsheets.
  • Train, coach and mentor staff on MSP and other claim procedures
  • Communicate (oral and/or written) with the various Government agencies, employers, members and partner with internal Fund stakeholders
  • Develop and update spreadsheets, maintain statistical analysis for preparation of data for program reports and presentation
  • Track and manage timely reposes ensuring Demand Letter deadlines are achieved
  • Research system problems, such as claims that did not process correctly. To ensure all claims are processed according to Fund Policies and Guidelines
  • Maintain MSP/Medicaid case files, purge and send closed cases as needed to Record Retentions for storage
  • Perform other duties as assigned by management


  • Bachelors degree or equivalent experience
  • Minimum of three (3) years as a medical Claims Quality Control Reviewer III or equivalent experience in a Healthcare environment
  • Knowledge of Claims processing, Medical Terminology, Third-Party Reimbursement, COB, MSP, CPT, ICD-9 and HCPCS codes
  • Excellent communication skills (oral, written, and listening); excellent interpersonal skills and ability to interact with diverse groups and maintain a pleasant attitude to ensure excellent customer service
  • Intermediate skill level of Microsoft Word and Excel; Access and Power Point preferred
  • Knowledge of 1199 Medical Claims Benefits, COBRA preferred
  • Extensive knowledge of The Funds policies preferred
  • Problem- solving and decision-making skills
  • Good attention to details and analytical ability

All Jobs in New York, NY

  • Billing/Database Coordinator

    Selfhelp New York, NY

    View Job
  • Benefits SOAR Specialist- SSVF

    Jericho Project New York, NY

    View Job
  • Day Shift Supervisor

    Constructive Partnership Unlimited Bronx, NY

    View Job
  • Billing Coordinator (CPC) - Department of Neuroscience - Mount Sinai W

    Mount Sinai New York, NY

    View Job
  • Outreach Coordinator, OLS

    New York City Department of Education . New York, NY

    View Job
  • Outreach Coordinator, OLS

    New York City Department of Education . New York, NY

    View Job
  • HR Coordinator

    UNTANGL, INC New York, NY

    View Job
  • Medical Technician Intern

    Brightpoint Health Brooklyn, NY

    View Job
  • Medical Technician Intern

    Brightpoint Health Bronx, NY

    View Job
  • Medical Technician Intern

    Brightpoint Health Jamaica, NY

    View Job
  • Patient Accounts Coordinator

    hackensack university med cntr Hackensack, NJ

    View Job

Featured Articles

Description of Business Analyst Training In USA

03 September 2015

Business Analyst is the much sought after profession making the BA Training popular among the recent graduates or the fresher’s who are career inclined aiming to achieve success and wealth. The business analyst career demands to recognize, think and execute the plan

read more..

Best SAP SRM Online Training In USA

02 May 2016

SAP SRM stands for SAP Supplier Relationship Management. This application connects a company with supply base which allows multiple level suppliers and manufacturers to work together and to reduce the cost of sold goods. It creates a common frame of reference to e

read more..

Difference between Quality Assurance (QA) and Quality Control (QC)

17 May 2019

Quality control and quality assurance are two components of quality management. Quality assurance and Quality control are often misunderstood for being the same. Many people assume that QA and QC are similar in some way. But sometimes QA and QC create a bit of confusion about the very fine line in t

read more..

How to Write a Follow Up Email After a Phone Interview / Interview and Second Follow Up Email After Interview

10 October 2018

For most people the interview process only consists of researching the organization, creating an impact resume, showing up for the interview on time, wearing the appropriate clothes, sounding confident, preparing for all the questions you’ll get from hiring managers

read more..

Thanks For Your Feedback

Attach A Resume First