Top 5292 Member services representative Jobs in Flatbush Ny

Telephone Representative II (Provider Relations)
1199SEIU Family of Funds —New York, NY
- $49,495.68 - $62,570.04 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Vision insurance
Member Services Representative
SUPREME FITNESS GROUP —Brooklyn, NY
- $17.70 an hour
- Part-time
- 18 years or older
- Computer literacy
- High school diploma or GED
- Health insurance
- 401(k)
Access Service Representative
Northwell Health —New York, NY
- $29.37 - $31.48 an hour
- Part-time
- Hospital
- English
- High school diploma or GED
1d
Patient Access Specialist I
Hospital for Special Surgery —New York, NY
- $32.39 - $36.04 an hour
- Full-time
- Microsoft Outlook
- Basic math
- High school diploma or GED
Part-Time Member Service Representative
Municipal Credit Union —Queens, NY
- $20.00 - $36.14 an hour
- Overtime
- Office
- High school diploma or GED
- Mentoring
- Paid holidays
- 401(k)
Quick Apply
Admitting Representative - Sat & Sun 12am-8am
NYU Langone Health —New York, NY
- $30.58 an hour
- Hospital
- Computer literacy
- HIPAA
- Wellness program
3d
Patient Representative
NYC Health + Hospitals —New York, NY
- $54,121 a year
- Online Application
- Skilled nursing facility
- Inpatient
- Research
- Commuter assistance
- Paid holidays
Receptionist
DISTRICT ATTORNEY KINGS COUNTY —Brooklyn, NY
- $45,675 a year
- Full-time
- No experience needed
- English
- Office
13d
Member Service Representative
Municipal Credit Union —New York, NY
- $20.00 - $36.14 an hour
- Overtime
- Office
- High school diploma or GED
- Mentoring
- Paid holidays
- Disability insurance
Quick Apply
Secretary II (FGP) - Podiatry Associates, Brooklyn (Russian speaking highly preferred)
NYU Langone Health —Brooklyn, NY
- $61,692.75 - $61,900.00 a year
- Online Application
- Inventory management
- HIPAA
- Mid-level
- Wellness program
Full Time - Patient Representative - Church Ave
Sun River Health —Brooklyn, NY
- $20 - $23 an hour
- Full-time
- Spanish
- English
- Mid-level
Temp Medical Secretary - Radiology
NYU Langone Health —New York, NY
- $69,604.56 a year
- Temporary
- Hospital
- Computer literacy
- HIPAA
- Wellness program
4d
Front Desk Team Member
EQX Hotel Management LLC —New York, NY
- $35 - $38 an hour
- 8 hour shift
- English
- Hotel
- Bachelor's degree
Quick Apply
Medical Secretary - Manhattan **Outpatient Pediatrics**, Temporary
NYU Langone Health —New York, NY
- $69,604.56 a year
- Temporary
- Computer literacy
- HIPAA
- Administrative experience
- Wellness program
14d
Direct Sales Representative- Universal
Astound —Queens, NY
- $39,145.00 - $39,145.18 a year
- Full-time
- High school diploma or GED
- Driver's License
- Organizational skills
- Paid holidays
- Disability insurance
Instructor (Cred) FT
UNITED ACTIVITIES UNLIMITED —Staten Island, NY
- $58,500 a year
- Full-time
- Microsoft Word
- Classroom
- Computer literacy
Quick Apply
Clinical Nutritionist (Registered Dietitians)
WILLIAM F RYAN COMMUNITY HEALTH CEN —New York, NY
- $40.69 - $42.75 an hour
- Full-time
- Spanish
- Microsoft Outlook
- English
Quick Apply
NJDOE Certified Teacher of Students with Disabilities (ABA Classroom)
Garden Academy —West Orange, NJ
- Full-time
- Classroom
- Applied behavior analysis
- Teaching Certification
- Health savings account
- Health insurance
Quick Apply
SOCIAL WORKER
CenterLight Health System —Queens, NY
- $85,280 - $102,960 a year
- Full-time
- Master of Social Work
- Skilled nursing facility
- OSHA
Outside Cheese Sales- Metro NY Area
WORLD'S BEST CHEESES —Queens, NY
- $70,000 - $100,000 a year
- Full-time
- Sales
- Customer service
- Merchandising
- Health insurance
- Dental insurance
Quick Apply

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member services representative jobs near flatbush ny

Telephone Representative II (Provider Relations)

1199SEIU Family of Funds -
New York, NY

Apply Now

Job Details

Full-time
$49,495.68 - $62,570.04 a year

Benefits

Vision insurance

Qualifications

Customer communication
High school diploma or GED
Typing

Full Job Description

Requisition #:

7479-7485

# of openings:

Employment Type:

Full time

Position Status:

Permanent

Category:

Bargaining

Workplace Arrangement:

Hybrid

Fund:

1199SEIU National Benefit Fund

Job Classification:

Non-Exempt

Responsibilities

Communicate with doctors, hospitals, and other professionals via telephone regarding 1199SEIU members, dependent eligibility for health benefits, claims, and other plan services
Verify and determine eligibility for members, spouses, dependents, including the reinstatement of terminated coverage
Research and request documentation for provider enrollment, credentialing and provider file updates
Research and provide schedule of allowance for procedure codes and prior authorization requirements, research check reconciliation of claim payments
Accurately and professionally respond to telephone inquiries regarding member benefits and claims
Examine dental, vision, hospital, and medical claim histories for claim status, accuracy and timeliness
Create call tracking records in call tracking system (QNXT) to the appropriate call tracking folders for resolution; mail printed materials upon request
Review call tracking items returned to individual folder for closure or assignment to correct call tracking folder as required
Assign claim inquiries, enrollment, and eligibility issues to appropriate call tracking folders for resolution
Generate call tracking inquiries for problems related to all of the above for correction
Advise providers of new programs, plan improvements and plan changes
Verify provider inquiry using Knowledge Tool (BeneFAQs, QNXT, DocFind, iObserver)
Retrieve and review scanned claim images using IRIS System
Perform additional duties and projects as assigned by management

Qualifications

High School Diploma or GED required; Some College or Degree preferred
Minimum two (2) years high volume customer service experience in a call center environment; or two (2) years health claims processing experience required
Excellent Keyboarding Skills Required.
Experience using web-based applications, basic knowledge of health claims processing systems (QNXT, Vitech) and Fund eligibility requirements preferred (National Benefit Fund, Greater New York Fund, Home Care Fund); experience with Provider Relations a plus
Excellent written and verbal communication skills with great interpersonal skills
Ability to initiate own correspondence and maintain a pleasant attitude to ensure excellent service to members and providers
Ability to multi-task and work under pressure due to volume and urgent nature of calls
Call Center hours of operation are from 8:00 am - 6:00 pm; shifts are subject to change and/or availability

Apply Now

Refine Your Search

member services representative jobs in flatbush ny

Telephone Representative II (Provider Relations)

Member Services Representative

Access Service Representative

Patient Access Specialist I

Part-Time Member Service Representative

Admitting Representative - Sat & Sun 12am-8am

Patient Representative

Receptionist

Member Service Representative

Secretary II (FGP) - Podiatry Associates, Brooklyn (Russian speaking highly preferred)

Full Time - Patient Representative - Church Ave

Temp Medical Secretary - Radiology

Front Desk Team Member

Medical Secretary - Manhattan Outpatient Pediatrics, Temporary

Direct Sales Representative- Universal

Instructor (Cred) FT

Clinical Nutritionist (Registered Dietitians)

NJDOE Certified Teacher of Students with Disabilities (ABA Classroom)

SOCIAL WORKER

Outside Cheese Sales- Metro NY Area

I want to receive the latest job alert for member services representative in flatbush ny

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