- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the overall financial ... to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and… more
- University of Rochester (Rochester, NY)
- …open account receivables to successful closure. Responsible for an effective claims 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… more
- University of Rochester (Rochester, NY)
- …requests, necessary and appropriate medical terminology to use in order for claim to be approved, previous treatments that are necessary to report, appropriate ... verbiage for treatments that have been tried and not successful. + Applies knowledge and protocols to varying degrees based on how complexities of the situation deviate from the norm. + Resolves obstacles presented by the insurance company by applying… more
- University of Rochester (Rochester, NY)
- …requests, necessary and appropriate medical terminology to use in order for claim to be approved, previous treatments that are necessary to report, appropriate ... verbiage for treatments that have been tried and not successful (ie, medication could not be utilized due to heart condition). Applies knowledge and protocols to varying degrees based on how complexities of the situation deviate from the norm. Resolves… more
- Finger Lakes Health (Geneva, NY)
- …Pay Range $19.35 - $22.47 Job Description Responsible for accurate and timely submission of claims to third party payers and follow up of billed claims for
- University of Rochester (Brighton, NY)
- …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 of non-routine correspondence providing factual information. + Arranges travel, conference registration, and hotel accommodations. Interfaces with organizations, hospitals, and others to… more
- University of Rochester (Dansville, NY)
- …signatures for non-routine letters of correspondence related to appeals on denied claims . This includes 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 and… more
- University of Rochester (Rochester, NY)
- …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 and others to facilitate… more
- University of Rochester (Rochester, NY)
- …may establish financial arrangements for charges. - Processes commercial insurance claims when applicable. Refers to collectors for payment arrangements, if ... appropriate. - Retains responsibility for patient bills until paid in full, editing follow-up bills originated by the computer and making contact with responsible parties when necessary to insure complete satisfaction of the account. - May coordinate and/or… more
- University of Rochester (Rochester, NY)
- …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 Scheduling:… more