- University of Rochester (Rochester, NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts ... for provider signature. Manages provider(s) documentation and information. Composes and types non-routine correspondence providing factual information. Arranges travel, conference registration and hotel accommodations. Interfaces with organizations, hospitals… more
- University of Rochester (Albany, NY)
- …follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... Resolves complex claims. Acts as a resource for lower level staff. **ESSENTIAL FUNCTIONS** + Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain… more
- University of Rochester (Rochester, NY)
- …and department needs + Guides students in preparation of petitions, proposals, and appeals ; refers students to faculty or other offices for specialized help **Take ... Five Program Manager:** + Advises students applying to and enrolled in the Take Five Scholars Program. + Disseminates information to constituents across the School of Arts and Sciences, Hajim School of Engineering, and Eastman School of Music to recruit high… more
- University of Rochester (Albany, NY)
- …claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. + 10% Keeps management ... informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with Claim Edit… more
- University of Rochester (Rochester, NY)
- …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... has direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- University of Rochester (Rochester, NY)
- …in selecting for routine and non-routine letters of correspondence related to appeals on denied claims, billing and patient communications. + This includes compiling ... all necessary information and drafts for provider signature and ensuring best practices and following University polices and guidelines. + Obtains hospital medical records for information requested by physicians, insurance companies, and attorneys. + Master… more
- University of Rochester (Rochester, NY)
- …follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... Resolves moderately complex claims. **ESSENTIAL FUNCTIONS** + Edits and reviews In-Patient and Out-Patient accounts to ensure completion, accuracy, and reflect the particular patient's financial responsibility. + Exercising tact and judgment, interviews… more
- University of Rochester (Rochester, NY)
- …closure and obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... Mentors and trains new or lower level staff. Schedule 8:30 AM-5:30 PM Responsibilities Job Summary The Specialty A/R associate will handle all functions associated with the resolution of an exclusive set of complex accounts. The tasks in specialty billing will… more
- Arc Herkimer (Herkimer, NY)
- …services. In this role, you will: + Lead major gifts programs, annual appeals , and fundraising campaigns + Research and identify grant opportunities that align with ... our mission + Write persuasive proposals and engaging progress reports + Plan both short- and long-term fundraising strategies + Build and maintain strong donor and funder relationships + Work with our Budget Control Manager to ensure financial accuracy +… more
- Elevance Health (New York, NY)
- …alternative surgical and non-surgical treatments. + Performs first level provider appeals of coverage decisions. + Provides support and education to internal ... clinical and non-clinical staff regarding the principles associated with appropriate musculoskeletal diagnoses, treatments, and management. + Participates in physician team meetings. + Participates in groups that develop, revise and enhance clinical… more