• Patient Account Associate II Representative

    Intermountain Health (Albany, NY)
    …+ **Essential Functions** + Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and ... secondary billing issues, credit balances, sequencing of charges, and non-payment of claims . + Reconcile accounts, research and resolve various issues relating to… more
    Intermountain Health (07/11/25)
    - Related Jobs

  • Physician Support Representative

    University of Rochester (Rochester, NY)
    …composes edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims . + This includes compiling all necessary ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
    University of Rochester (07/19/25)
    - Related Jobs

  • Physician Support Representative III

    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 ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
    University of Rochester (07/19/25)
    - Related Jobs

  • Physician Support Representative III

    University of Rochester (Rochester, NY)
    …protocols in selecting for routine and non-routine letters of correspondence related to appeals on denied claims , billing and patient communications. + This ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
    University of Rochester (07/19/25)
    - Related Jobs

  • Clinical Reviewer

    Independent Health (Buffalo, NY)
    …the collection and review of medical records specific to quality complaints/grievances and appeals as indicated in support of a high performing health plan and ... network. The Clinical Reviewer will investigate quality complaints/grievances and appeals , document research of initial coverage determinations, and lead… more
    Independent Health (07/09/25)
    - Related Jobs

  • Clm Resltion Rep III, Hosp/Prv

    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 ...with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. + 10%… more
    University of Rochester (05/13/25)
    - Related Jobs

  • Revenue Cycle Specialist I

    The Institute for Family Health (New Paltz, NY)
    …to senior representatives such as mailing paper claims , preparing spreadsheets for appeals , or maintaining data spreadsheets as directed by the manager (s). ... standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and collections and… more
    The Institute for Family Health (06/11/25)
    - Related Jobs

  • Pharmacy Coordinator

    Highmark Health (Albany, NY)
    …of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
    Highmark Health (07/15/25)
    - Related Jobs