- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE With considerable latitude for independent judgment, the Claim Resolution Rep IV is responsible for the follow up and collection of accounts ... both primary and secondary levels. Trains new and existing PFS staff on new procedures and acts as point...highly visible unique contracts and arrangements. The Claim Resolution Rep IV will represent the department and SMH in… more
- University of Rochester (Rochester, NY)
- …have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes necessary to ... attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and Strong Memorial...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. +… more
- University of Rochester (Rochester, NY)
- …case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from admission/arrival until the ... throughout the inpatient stay. + Review payer denials and communication from PFS related to Health Insurance Counseling responsible areas and perform necessary… more
- Saratoga Hospital (Saratoga Springs, NY)
- …appeals and reconsiderations. + Collaborate and communicate effectively with employees and PFS leadership to ensure any policies and procedures are updated with ... and support patient and staff satisfaction. + Serve as a positive, professional representative of our hospital and community. What You Bring + High School diploma… more