- University of Rochester (Rochester, NY)
- …Documents all account follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. ... have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes necessary… more
- Rochester Regional Health (Rochester, NY)
- …Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims ... to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare services. This role plays a critical part in the… more
- University of Rochester (Rochester, NY)
- …include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, ... by effectively managing the assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert on team functions and… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , + facilitating the accuracy and completeness of the practice's codes and charges ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: + High School… more
- Cardinal Health (Albany, NY)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... cycle process. This includes, billing follow up, collections, payment posting, denial resolution , and responding to patient inquiries in a professional and timely… more
- University of Rochester (Rochester, NY)
- …accounts from the beginning of the billing period through the accurate resolution of the account. Collection activities will focus on self pay accounts. ... recommendations related to the following: + Bankruptcy filings and resolution + Estate Claim verification + Presumptive financial assistance...to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +… more
- Catholic Charities of the Dioscese of Albany (Albany, NY)
- …through: + Assist employees in the benefits program enrollment and benefit claims processes + Maintain changes to the employee benefit platforms including employee ... salary adjustments and benefit eligibility status; Assist the Employee Benefits Specialist with maintenance of the pension platform + Facilitate the resolution … more
- University of Rochester (Rochester, NY)
- …coding guidelines. + Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction ... issues to providers, department, and/or designated leader for follow up and resolution . + Consults with internal customers and external vendors to obtain greater… more
- University of Rochester (Rochester, NY)
- …for system edit reviews and follows up on insurance coding denials for resolution . **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to ... reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves… more
- University of Rochester (Rochester, NY)
- …guidelines. + Reviews and resolves coding denials. + Resolves problems with claims having errors related to improper coding and provides feedback for correction ... issues to providers, department, and/or designated leader for follow up and resolution . + Consults with internal customers and external vendors to obtain greater… more