- 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 initial 120 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE With considerable latitude for independent judgment, the Claim Resolution Rep IV is responsible for the follow up and ... of highly visible unique contracts and arrangements. The Claim Resolution Rep IV will represent the department...service accounts in order to bring about prompt account resolution and revenue collection from complex claims ,… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claim Resolution Rep II is responsible for the accurate and timely ... and within New York State. Position Summary: The Claim Resolution Rep II is responsible for the...limited to modifier requirements or provider enrollment issues. Identifies claims that require further research and determines… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claim Resolution Rep II is responsible for the accurate and timely ... Provides guidance and support to Billing Assistant and answers correspondence. The Claim Resolution Rep II will represent the department and Strong Memorial… 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
- University of Rochester (Albany, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE 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
- University of Rochester (Albany, NY)
- …denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance ... or deferring tasks. Researches and calculates under or overpaid claims ; determines final resolution . Contacts payers on...namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower level staff....A/R associate will handle all functions associated with the resolution of an exclusive set of complex accounts. The… 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. ... that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH), Highland… more
- Intermountain Health (Albany, NY)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
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