- University of Rochester (Rochester, NY)
- …accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. +… more
- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more
- University of Rochester (Albany, NY)
- … to obtain and verify insurance coverage. Follows up on unpaid accounts working claims . Reviews reasons for claim denial. Reviews payer website or contacts payer ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more
- University of Rochester (Rochester, NY)
- …to successful 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. **ESSENTIAL...are contacted. + Resolves complex, high dollar, and specialized claim resolution issues due to coordination of benefits, eligibility… more
- University of Rochester (Rochester, NY)
- …to successful 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....accounts, resulting in payment or resolution of the outstanding claim . The Specialty A/R associate will utilize MFG and/or… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service ... calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address...have experience in a high-volume call center, experience with claims inquiry and claims review procedures, knowledge… more
- University of Rochester (Rochester, NY)
- …that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH), Highland ... the following: + Bankruptcy filings and resolution + Estate Claim verification + Presumptive financial assistance + Other recommendations...to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +… more
- University of Rochester (Rochester, NY)
- …resolves customer complaints. Schedule: 8 AM-5 PM The Patient Financial Representative performs the functions of Patient Account Management for individuals receiving ... University of Rochester Medical Facility Group (URMFG). The Patient Financial Representative responds to patients' inquiries via telephone, MyChart, mail, email, and… more
- IQVIA (Bronx, NY)
- **Bi-lingual Pharmacy Support Call Center Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... for a 100% remote (work from home-WFH) contract **Pharmacy Support Call Center Representative ** to join our team. In this position, you will provide payment… more