Claim Resolution Representative III, Hospital/Private Job at University of Rochester (Rochester)

Claim Resolution Representative III, Hospital/Private

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Albany

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree and 2 years of relevant experience required
Or equivalent combination of education and experience

Job Responsibility

Performs follow-up activities designed to bring all open account receivables to successful closure
Responsible for an effective claims follow-up to obtain maximum revenue collection
Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims
Resolves complex claims
Acts as a resource for lower level staff
Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage
Follows up on unpaid accounts working claims
Reviews reasons for claim denial
Reviews payer website or contacts payer representatives to determine why claims are not paid
Determines steps necessary to secure payment and completes and documents follow up by resubmitting claim or deferring tasks

Fulltime

Claim Resolution Representative III, Hospital/Private

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree and 2 years of relevant experience required
Or equivalent combination of education and experience

Job Responsibility

Performs follow-up activities designed to bring all open account receivables to successful closure
Responsible for an effective claims follow-up to obtain maximum revenue collection
Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims
Resolves complex claims
Acts as a resource for lower level staff
Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage
Follows up on unpaid accounts working claims
Reviews reasons for claim denial
Reviews payer website or contacts payer representatives to determine why claims are not paid
Determines steps necessary to secure payment and completes and documents follow up by resubmitting claim or deferring tasks

Fulltime

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Duct Installation Technician / Sheet Metal Mechanic

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Location

United States , DC/Baltimore area

Salary:

30.00 - 40.00 USD / Hour

Blueprint Staffing

Expiration Date

Until further notice

Requirements

Proven experience as a Sheet Metal Mechanic or Duct Installation Technician
Strong knowledge of HVAC systems and components
Ability to work independently and as part of a team in a fast-paced environment
Valid driver's license and clean driving record
Willingness to travel within the Mid-Atlantic region

Job Responsibility

Perform installations and maintenance on various duct systems, including residential and lite commercial systems
Work collaboratively with the team, ensuring high-quality service delivery without sales pressure

What we offer

401(k) w/ matching
Dental insurance
Health insurance
PTO
Vision insurance

Fulltime

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Our Edmonton client is seeking a skilled Full Stack Developer to join their Digi...

Location

Canada , Edmonton

Salary:

Not provided

Randstad

Expiration Date

May 23, 2026

Requirements

Post-secondary education in computer science combined with at least five years of professional software development experience
Minimum of five years of experience developing software solutions specifically using C# or Java
Minimum of three years of experience working on Amazon AWS software development projects
Minimum of three years of experience building and testing solutions using Angular or React
Proven experience with NoSQL databases and modern CI/CD tools for automated deployment

Job Responsibility

Develop and maintain web applications using C# and .NET within an Amazon AWS cloud platform
Build and deploy serverless cloud-based applications using AWS DynamoDB and VS Code
Create responsive front-end components using JavaScript, SCSS, HTML, and Angular
Implement state management solutions using technologies such as NGXS, NGRX, or Redux
Design and develop RESTful APIs to ensure efficient communication between services
Write effective unit and automation tests to maintain high code quality and reliability
Translate complex business requirements into functional and technical designs for solution delivery

What we offer

Work on a high-profile, inflight agile project using modern cloud technologies
Gain hands-on experience incorporating Artificial Intelligence into functional software solutions
Contribute to a meaningful educational platform that serves a wide user base
Utilize a modern tech stack including AWS serverless architecture and Angular
Collaborative team environment that values technical leadership and architectural input

Fulltime

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Category Manager

Lead a Global Accessories & Jewellery Category. This is a high-impact leadership...

Location

United Kingdom , Avonmouth, Bristol

Salary:

Not provided

Harding+

Expiration Date

Until further notice

Requirements

Minimum of 10+ years’ experience within a mid-sized to large fashion retail organisation
Strong branded fashion buying experience
Proven capability in private label product development
Commercially driven with a track record of delivering category growth and profitability
Comfortable managing complex global vendor relationships
Combines creativity with strong commercial judgement
Ability to interpret trends and translate these into compelling product ranges and customer experiences
Confident leader with experience managing teams
Experience operating within a fast-paced, high-volume retail environment
Driven, resilient and comfortable taking calculated risks to deliver results

Job Responsibility

Define and execute category strategy
Shape mid-to-long-term plans
Drive revenue and margin performance
Identify opportunities for growth across global markets
Lead the day-to-day trading of the category
Analyse performance to optimise product mix, pricing and promotions
Manage vendor relationships
Drive innovation through private label product development
Own range building, product development and vendor strategy
Negotiate trading terms

What we offer

Annual bonus scheme
Company pension
Healthcare provision
26 days annual leave plus bank holidays, with the option to purchase an additional five days
Exposure to global retail operations across international cruise markets

Fulltime

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Join a team shaping the future of marketing with AI. Are you obsessed with learn...

Location

United Kingdom , Reigate

Salary:

36000.00 - 42000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

4 years+ Marketing experience
Degree or equivalent CIM Marketing qualification
IT Competency with the Microsoft Suite
Adobe Creative Suite or Canva
Familiarity with WordPress or equivalent CMS
Exposure to CRM databases such as Salesforce or Dynamics
Email marketing proficient
Previous experience of using LLMs for business
Recognises the importance of building excellent working relations with all suppliers, colleagues and our sales team
An eye for detail with the ability to effectively prioritise and organise tasks, manage time and meet deadlines

Job Responsibility

Create blogs, web pages, case studies and campaigns that showcase real value
Use AI to enhance output, improve quality, and scale content production
Build and optimise email campaigns and nurture sequences
Experiment with messaging, formats, and automation
Use LLMs daily to work smarter and faster
Share insights and discoveries with the team
Bring fresh, creative ideas to the table
Help shape and deliver marketing initiatives that drive results
Support the planning and delivery of events that make an impact
Help us turn data into insights that guide smarter decisions

What we offer

A comprehensive Private Healthcare and Cash Plan
Pension and life insurance
Entry to the £3,000 quarterly Dreamball draw
Personalised training and development pathways
Regular fully funded companywide events
Monthly ‘outstanding performer’ accolades
Enriching paid volunteering days
A rewarding Refer a friend scheme (£1,000)
The flexibility to adjust your holiday allowance (25 days pa)
Complimentary daily breakfasts in the office

Fulltime

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Registered Children's Manager

Compassionate Care is a leading provider of diverse services throughout the UK, ...

Location

United Kingdom , Lancaster

Salary:

50000.00 - 60000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Level 5 Diploma in Children and Young People – Residential Childcare
Minimum of 2 years’ experience managing a Residential Children’s Home
Proven track record of effective leadership skills, encompassing the ability to motivate and inspire, those around them
In-depth and robust, understanding of regulatory and legal requirements of Ofsted Registered provisions, and underpinning child and social care legislation
Champion children’s rights and a fierce advocate of improving the lives of looked after children and children with disabilities
Bundles of resilience, with the natural ability to maintain composure and professionalism, when placed in high pressure situations
The ability to turn challenges into opportunities and bring about the best in those around them.
Valid UK Driver's License and access to own vehicle

Job Responsibility

Lead and manage the service consistent with the approach and ethos of the organisation, delivering outcomes and outstanding care, as set out in the statement of purpose
Manage the daily operations of the service, whilst ensuring the highest quality of care is delivered to children and young people
Oversee a myriad of safeguarding practices and ensure a robust safeguarding culture
Cultivating a dynamic and supportive team environment through inspirational leadership
Foster a positive team culture that prioritises the needs, well-being and outcomes, of all children
Conduct regular supervision, appraisals, and training to support staff, whilst being a fierce advocate of continued professional development
Fostering strong and meaningful relationships with children, staff members, and external stakeholders
Ensure the home operates in full compliance with Ofsted standards, the Children’s Homes Regulations, and all other relevant legislation

What we offer

Career development
funded Care Certificate
employee assistance program
referral bonus
pension scheme
social events

Fulltime

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Hvac service manager

Seeking an HVAC Service Manager with construction and service experience working...

Location

Salary:

90000.00 - 110000.00 USD / Year

Blueprint Staffing

Expiration Date

Until further notice

Requirements

Minimum of 10 years of experience in HVAC construction and 5 years in a supervisory role
Previous experience as a service technician with a deep understanding of HVAC systems
Strong problem-solving skills and attention to detail
Ability to read blueprints and knowledge of building codes
Must pass a pre-employment drug screening and background check

Job Responsibility

Oversee and manage HVAC service operations, ensuring high-quality service delivery
Supervise and mentor service technicians and office staff, fostering a collaborative work environment
Communicate effectively with general contractors and homeowners to address service needs
Train new technicians on best practices, safety protocols, and company procedures
Maintain knowledge of advanced HVAC systems and ensure compliance with building codes

What we offer

401(k) matching
Dental insurance
Health insurance
PTO
Vision insurance

Fulltime

Claim Resolution Representative III, Hospital/Private

University of Rochester

Location:
United States of America , Rochester

Category:
Finance

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 21, 2026

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