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

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

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

New

Test Engineer

Assignment Description: We are seeking a Test Engineer with an interest in moder...

Location

Sweden , Lund

Salary:

Not provided

Upgraded People AB

Expiration Date

Until further notice

Requirements

Solid understanding of Python
Familiarity with C/C++
At least five years’ experience in a Test Engineer role focused on embedded or system-level software
Proven experience in automated testing within embedded systems
Hands-on experience with Robot Framework
Solid understanding of working in a Linux environment
A well-developed testing mindset, with the ability to question solutions and prevent defects from reaching end users
Proficiency in Swedish or English

Fulltime

New

Leading Hand Process Operator

Reporting to the Shift Supervisor, the Leading Hand Process Operator is responsi...

Location

Australia , Pilbara

Salary:

Not provided

PLS

Expiration Date

Until further notice

Requirements

Prior experience as a Senior Process Operator in fixed operating plant or equipment in the mining industry
Previous experience in the Pilbara
Physical fitness to perform role and meet the physical demands required to respond in emergency or rescue situations
Mechanical aptitude
Teamwork and ability to contribute to a team
Initiative
Proactive safety focus
Computer literacy

Job Responsibility

Supporting the Supervisor in providing guidance and leadership to Process Operators across all areas of the production plant
Ensure compliance to operating procedures
Supporting the Supervisor in training and developing the processing team within the Supervisors span of control, providing on the job training and coaching to shift crew participants
Coordinate and delegate priorities that may shift quickly to adjust the demands of processing delivery
Liaise with the Shift Supervisor to assist in the management of workforce scheduling as needed to meet fluctuation demands, and coverage needs
Liaise with the Shift Supervisor on the daily tasks and jobs required
Communicate with the Shift Supervisor any issues that may arise and work with the operators to resolve

What we offer

18 weeks parental leave for primary carers and 4 weeks for secondary carers
Health and wellbeing allowance
Quarterly short-term incentive bonus that recognises individual and business performance
PLS employee share scheme
Novated leasing through salary sacrifice
Newly refurbished facilities at Pilgangoora including gym, tennis, pickleball and volleyball courts, sports oval, and scenic walking tracks
Paid community leave
Monthly employee recognition awards
Access to PLS’ KidsCo School Holiday Program

Fulltime

New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Shorewood

Salary:

17.00 - 27.00 USD / Hour

CVS Health

Expiration Date

May 30, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus: Ability to concentrate on a task over a period of time
Ability to pivot quickly from one task to another to meet patient and business needs
Ability to confirm prescription information and label accuracy, ensuring patient safety
Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner
Notice and understand patients’ reactions, and respond appropriately

Job Responsibility

Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
voluntarily traveling to stores in the market to work shifts as needed by the business

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
and other resources

Fulltime

New

Structural Engineer

The Structural Engineer, with supervision from the Manager of Structural Enginee...

Location

United States , Dearborn

Salary:

Not provided

Ghafari Associates

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Civil Engineering or Structural Engineering, or related field
Master’s preferred
Professional Registration required
Minimum 4+ years of related experience in the structural engineering field
Analysis: Risa, RAM, ETABS, and/or SAP2000 preferred
Drafting: Revit and Bluebeam

Job Responsibility

Keep current with latest code publications and apply in everyday analysis as applicable
Formulate design and/or analysis of structural framing systems and perform necessary calculations
Perform basic engineering analysis including lateral design with limited guidance
Conduct field measuring and checking at construction site to verify existing conditions
Ability to prepare construction documents including drawings and specifications to comply with company standards
Communicate with other disciplines to produce well-coordinated construction documents
Review shop drawing submittals to assure design intent is met
Maintain project file containing project calculations, correspondence, appropriate reference material, etc
Communicate scope changes to Manager of Structural Engineering and Project Manager
Use available structural computer programs to enhance productivity and verifies results with manual checks

What we offer

Career mapping
Encouraged to seek licensure
Coached for knowledge growth
Provided opportunities for management and mentorship roles
Robust internship program
Over a quarter of Ghafari employees have diverse identities that are championed by our growing approach to Diversity, Equity, and Inclusion
Ghafari supports hybrid and in-office work environments

Fulltime

New

Partner Sales Manager

The Partner Sales Manager is responsible for delivering FTTP business revenue ac...

Location

United Kingdom , Irlam

Salary:

Not provided

Freedom Fibre

Expiration Date

Until further notice

Requirements

Minimum 12 months’ experience in channel or partner management
Minimum 12 months’ sales experience
Strong written and verbal communication skills
Commercially astute with attention to detail
Customer-focused with strong stakeholder engagement skills
IT literate (Excel, PowerPoint)
Strong problem-solving ability
Ability to work remotely while managing sales targets effectively

Job Responsibility

Actively recruit new partners across all relevant channels to build a healthy sales pipeline
Explore and develop new routes and channels to promote services and expand market presence
Onboard, train and coach partners to ensure successful and compliant sales of services
Manage and forecast the sales funnel by partner, ensuring accurate reporting into the business
Support partner-led sales activity, including customer visits and outreach campaigns to drive revenue performance
Prepare and manage partner business plans to ensure targets are achieved
Ensure partners meet all compliance standards and operate in line with company requirements
Maintain accurate partner records in CRM or any other internal systems
Attend and present at business conferences, drop-in events, and community sessions to raise brand awareness
Monitor and record the competitive landscape, feeding pricing and incentive intelligence into head office for benchmarking and strategic review

What we offer

25 days paid vacation
Flexible working hours
Hybrid working
Regular social & team events

Fulltime

New

Mobile Associate, Bilingual, Preferred | Retail Sales

This role supports retail operations by engaging customers and facilitating thei...

Location

United States , La Mesa

Salary:

19.50 USD / Hour

T-Mobile

Expiration Date

Until further notice

Requirements

High School Diploma/GED
6 months of customer service and/or sales experience, Retail environment (Preferred)
Passionate customer advocate
Competitive drive and proven ability to succeed in a fast-paced sales environment
Willingness to work alongside peers and store leaders, learning and sharing ideas
Effective at balancing customer needs and performance goals
At least 18 years of age
Legally authorized to work in the United States

Job Responsibility

Develop proficiency in customer service and sales to deliver personalized technology and service solutions
Utilize digital tools to demonstrate network coverage, service plans, and product features
Complete required training to build knowledge of retail processes, systems, and wireless technology innovations
Collaborate with colleagues across channels to support a seamless customer experience

What we offer

Annual stock grant
Employee stock purchase plan
401(k)
Access to free, year-round money coaches
Medical, dental and vision insurance
Flexible spending account
Paid time off
Up to 12 paid holidays
Paid parental and family leave
Family building benefits

Parttime

Claim Resolution Representative III, Hospital/Private

University of Rochester

Location:
United States of America , Albany

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 21, 2026

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Claim Resolution Representative III, Hospital/Private