- 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 ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- University of Rochester (Albany, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative III reports...(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims ,… more
- Molina Healthcare (NY)
- …member/provider impact and engagement including: Appeals and Grievances, Problem Research and Resolution , and the development/maintenance of Member/Provider ... of the call/ issue and following it through to resolution , on behalf of the customer, in real time...wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues.… 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
- Amalgamated Bank (New York, NY)
- …teller area. Help RBR's with complex work-related matters (ie check cashing) + Research and investigate customer claims in matters relating to transaction ... Amalgamated Bank is seeking a Licensed Retail Banking Representative ! Under general supervision, but following established policies and procedures, this position… more
- Northwell Health (Melville, NY)
- …to various government sites. + Manages work queue, aging lists, reports, and claims correspondence to assure accurate and timely payment of accounts. + Verifies ... exercise judgment to determine appropriate course of action for resolution . + Ability to adjust, void and submit bills...+ Excellent organization, time management, and prioritization skills + Research capabilities when confronted with an issue + A… more
- University of Rochester (Rochester, NY)
- …all account follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. + ... obtain payments, as well as contact payer representatives to research /resubmit rejected claims to obtain and verify...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- University of Rochester (Rochester, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative II reports...(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims… more
- Uniland Development Company (Amherst, NY)
- …Primary responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… 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