- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… 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 payer ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more
- Uniland Development Company (Amherst, NY)
- …Primary responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and ... The Risk Management and Insurance Coordinator provides legal and administrative support focused on insurance and risk management matters across Uniland's property… more
- Trinity Health (Albany, NY)
- …reconciliation daily. + Report any outstanding claims to contact to ensure all claims are billed timely + Review each claim for appropriate information. + ... a medical practice. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical… more
- Sedgwick (Albany, NY)
- …ensure accurate and sufficient information is received by employees and providers to support the claim request and documents decision rationale. + Completes ... of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Cognizant (Albany, NY)
- …United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. **Location:** ... you will make an impact by managing and resolving physician claim denials through advanced problem-solving, including identifying root causes and implementing… more
- AON (New York, NY)
- …fashion to cross-sell Cyber Solutions products and services + Effectively utilize the claims and legal advocacy group for claim administration and counsel to ... Insurance Team works with Sponsors to structure, manage and support Cyber Insurance Portfolio Programs, M&A and claims...Cyber Solutions products and services + Effectively utilize the claims and legal advocacy group for claim … more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with ... is required. **Job Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which… more
- MetLife (Oriskany, NY)
- …form with customer service proven through internal and external interactions. * Drives Claim Management Accuracy and customer experience through support of the ... performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the Customers' plan/policy and… more