- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... and resolution of claims . The Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative /… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Financial Representative - Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... a timely manner, to immediate supervisor for handling or resolution + Utilizes trial balance and other reports to...of Health funding and in the 99th percentile in research dollars per investigator according to the Association of… more
- Independent Health (Buffalo, NY)
- …questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first call resolution and navigate various ... paid time off (PTO), including company paid holidays. The Provider Relations Representative position offers an opportunity to begin a career at Independent Health.… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... Owning the issue and ensuring a complete and timely resolution are the most important success factors for this...such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively… more
- Rochester Regional Health (Rochester, NY)
- …ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in ... as needed. + Review and process claim denials according to established processes. Research and resolve denial issues via the payer website, coverage policies and/or… more
- University of Rochester (Rochester, NY)
- …from the payer. - - - Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule, APC ... insurance companies and other third-party payers to obtain payments, research , and resubmit rejected claims to primary...status on appropriate payer systems or contact an insurance representative to obtain information as to why claims… more
- University of Rochester (Rochester, NY)
- …from the payer. - - - Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule, APC ... insurance companies and other third-party payers to obtain payments, research , and resubmit rejected claims to primary...status on appropriate payer systems or contact an insurance representative to obtain information as to why claims… more
- Intermountain Health (Albany, NY)
- …Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. ... and resolves claims submission, disputes or complaints to resolution , as needed. Resolves billing/insurance issues and ensures compliance with departmental… more
- City of New York (New York, NY)
- …labor-management meetings, grievance and arbitration issues, training, dispute resolution matters, interpretative guidance on multiple collective bargaining ... and other relevant parties to assess the validity of claims or concerns, including collaborating with other divisions or...for grievances at the Step II level. - Agency representative at Step III hearings at the Office of… more