• Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …information. - Follow up on unpaid accounts- - - For unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to ... for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a...phone conferences with third party insurance representatives due to claim and system issues requiring prompt attention… more
    University of Rochester (06/16/25)
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  • Litigation Specialist, GL (Construction)

    Travelers Insurance Company (New York, NY)
    …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more
    Travelers Insurance Company (07/08/25)
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  • Per Diem Medication Management Pharmacy Intern;…

    Mount Sinai Health System (New York, NY)
    …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... pharmacist. Documents all patient encounters as appropriate in health system documentation system . 2. Data analysis: such.... 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's… more
    Mount Sinai Health System (07/15/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …in visit notes. 30% Corrects claim errors returned post-submission. + Reviews claims requiring non-routine correction in payer system to determine method of ... Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer...of payer billing software makes corrections directly in payer system . + Identifies non-routine problems for claims … more
    University of Rochester (06/18/25)
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  • Revenue Cycle Coordinator IV - Remote/Hybrid…

    University of Rochester (Rochester, NY)
    …information. + Follow up on unpaid accounts- - - For unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to ... for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a...phone conferences with third party insurance representatives due to claim and system issues requiring prompt attention… more
    University of Rochester (06/16/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …software) fax/scanner, Microsoft Word, Excel, Access, Email, third party claims systems (ePaces, Connex), Epic Billing System , and various payer web sites. ... which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes… more
    University of Rochester (07/16/25)
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  • Sr Investor Reporting Analyst

    TEKsystems (New York, NY)
    …accountability with those who fail to maintain these standards Skills Default Servicing, Loan Claim Filing, Private Investor Claims , Default Claims , MSP, ms ... and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner. This...and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits… more
    TEKsystems (07/19/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (Syracuse, NY)
    …and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
    Molina Healthcare (07/24/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Albany, NY)
    …denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
    University of Rochester (05/13/25)
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  • Business Analyst, Medicaid Intake Business…

    CVS Health (Albany, NY)
    …Medicaid Intake Business Operations team seeks an analyst with expertise in electronic claim transactions and claims operations. This team ensures the quality ... and integrity of Intake processes for all Medicaid incoming claim transactions. In this position, you will provide initial...with EDI Product Owners and Technology teams to identify system enhancements and bug fixes. You will also outline… more
    CVS Health (07/27/25)
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