- University of Rochester (Rochester, NY)
- …responsible for the accurate and timely preparation and submission of third-party billing/ claims to governmental or third-party payers. Re-submits claims that ... fail third party edits and submits second level claims . Provides guidance and support to Billing Assistant and answers correspondence. The Claim Resolution Rep II… more
- Travelers Insurance Company (Melville, NY)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- University of Rochester (Rochester, NY)
- …+ Adjust account or process insurance refund credits. + Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers. + Work ... independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... ICD (coding and CCI edits). + Anesthesiology Experience Preferred + Electronic claims processing preferred. **Responsibilities** + Follows up on submitted claims… more
- 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 Buffalo - Campus, Dining (Buffalo, NY)
- …Resource Benefits and Leave Administrator Reports to Benefits and Leave Manager /Human Resource Director Department Human Resources FLSA Status Full-Time, Exempt ... handbooks. workers compensation benefits, and safety programs and unemployment claims . This role reports directly to the Benefits and...This role reports directly to the Benefits and Leave Manager and this department reports to the Human Resource… 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....Functions and Expected Performances With general direction of the Manager and with latitude for initiative and judgment: 40%… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
- Robert Half Accountemps (Syracuse, NY)
- …billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. Candidates should possess a strong background ... in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills. Responsibilities: * Review and… more