• Revenue Cycle Coordinator IV - Remote/Hybrid…

    University of Rochester (Rochester, NY)
    …Makes independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/ billing issues ... status on appropriate payer systems or contact an insurance representative to obtain information as to why claims...claims are not paid and steps necessary for processing /payment. + Initiate collection phone calls to insurance companies… more
    University of Rochester (06/16/25)
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  • 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 ...calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments… more
    University of Rochester (05/13/25)
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  • Business Office Coordinator

    Sunrise Senior Living (Glen Cove, NY)
    …Process payroll and follow established business processes and "Do It Daily" processing activities and submit accurate bi-weekly payroll by established schedule. + ... internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and… more
    Sunrise Senior Living (05/15/25)
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  • Pharmacy Coordinator

    Highmark Health (Albany, NY)
    …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... 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)
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  • Reimbursement Analyst I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    Job Description: Summary: This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include ... and systems with the aim of developing common approaches, and monitors provider billing trends to ensure cost and quality management goals are met. Essential… more
    Excellus BlueCross BlueShield (05/30/25)
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