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

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Technical Business Analyst I - IM Health Plans

This position participates throughout all phases of the project life cycle for H...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor’s degree in business or technology or equivalent experience
2+ years related experience in and/or training in business analysis, technology development, or a related field.

Job Responsibility

Application Expertise - Detailed knowledge of assigned applications related to Business, Finance, Revenue Cycle and Human Resources service lines.
Planning – Manage tasks associated with business analysis and the project management lifecycle.
Project Implementation – Participate as IT Analyst subject matter expert in Executing phase of the Project Management Life Cycle.
Stakeholder Analysis - Identify the stakeholders who will be impacted by the change and understand their influence and authority levels.
Risk Assessment - Utilize methods to identify risk, probability, impact and how to mitigate those risks.
Meeting Facilitation – Manage meetings, and requirements workshop planning and management.
Feasibility Analysis - Utilize techniques to gather information at the right level of detail and scope to represent all of the stakeholder’s needs, and the ability to ask questions that lead to an understanding of the business need.
Requirements – Understand and effectively communicate the requirements change process, and traceability
System Optimization - Identify current capabilities and identify opportunities for improvement.
Business Process Analysis- Utilize various modeling techniques such as process modeling, data modeling, system modeling.

Fulltime

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Marketing Peer-to-Peer Intern

Peer-to-Peer Marketing Interns communicate with both parents and incoming studen...

Location

United States , Cullowhee

Salary:

Not provided

Aramark UK

Expiration Date

Until further notice

Requirements

Must be a student at this university/college
Solid understanding of all social media platforms
Experience in graphic design programs such as Adobe Creative Suite and/or Canva
Marketing, Business, or Communications major preferred
Strong eye for detail, able to proof work and ensure accuracy in work completed

Job Responsibility

Create graphics including posters, social media posts/reels, digital signage, and other materials that communicate dining information and adhere to Aramark Brand Standards
Assist in dining membership tabling events and activities around campus to educate and sell meal plans
Be knowledgeable in the meal plan structure, monetary value, and overall benefits of eating on campus
Distribute marketing materials and promotional items
Present information to customers and answer questions regarding dining services
Be part of a sales team to host events during orientation, move‑in weekend, and the first three weeks of the Fall/Spring semester
Assist with various other marketing events during key times in the Fall & Spring semesters

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Assistant Purchase Ledger Clerk

We are looking for a Purchase Ledger clerk to join our prestigious Finance team ...

Location

United Kingdom , Macclesfield

Salary:

25000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Previous experience in the same or similar role
Excel to an intermediate level (Pivot tables, lookups etc)
An aptitude for IT – knowledge of software packages like Excel and ideally financial systems
Great telephone manner with the ability speak calmly and confidently with suppliers chasing payment
Self-motivated
Positive and inquisitive manner
Ability to work accurately on an independent basis
Great attention to detail
Experience of dealing with high volumes of work

Job Responsibility

Carry out all purchase ledger maintenance, ensuring prompt and accurate checking, coding and logging of invoices, and issuing payments to suppliers, whilst contributing towards achieving financial targets and corporate objectives
Liaising with external Clients and Franchisees within the network as a key point of contact for any initial and ongoing enquiries – building lasting relationships

What we offer

25 days annual leave – plus bank holidays
Royal London, Company Pension
Group Life Assurance
Additional Paid Leave / Special Leave
Cycle to Work Scheme
Company Events
Laptop
Free Eye Tests / Subsidy for Glasses
Electric Car Charging Points
Free Standard Parking

Fulltime

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Registered Nurse

A role where you are looked up to. As a Registered Nurse, you do not just look a...

Location

Australia , Goulburn

Salary:

47.81 - 60.96 AUD / Hour

Warrigal

Expiration Date

Until further notice

Requirements

A current AHPRA registration as a Registered Nurse
Demonstrated clinical leadership skills and knowledge
Demonstrated 2 years of experience as a Registered Nurse preferably in aged care
Knowledge of legislation that affects aged care services
Resourceful, respectful, and passionate, with a love for sharing knowledge and mentoring team members

What we offer

Penalty rates for nights and weekends
NFP salary packaging - pay up to $18,550 less tax per year
Fantastic on-boarding program, ongoing support and mentoring from clinical educators
A community that values your career and invests in your growth
Access to your local gym and 200+ more across the country with a Fitness Passport
Opportunities to develop broader holistic care skills across physical, mental, and social wellbeing
Further train, qualify, specialise or take on early leadership roles
Job transfers and promotions on offer

Parttime

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Business Operations Engineer II

The Business Operations Engineer II will facilitate and coordinate efforts to en...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Master’s Degree in Business/Healthcare Administration or other healthcare-related advanced degree
Proficient in Microsoft Office Suite Tools: Excel, Word, PowerPoint, Visio, Project, and Outlook
Familiarity with Lean and Six Sigma
Ability to work full-time in a hospital, clinic, or office environment
Ability to work with all levels of associates across the organization
Exceptional teaching, speaking and interpersonal communication skills
Minimum 3 years of professional experience
Preferred experience in a healthcare setting
Lean Green Belt, Six Sigma Green Belt, or Lean-Six Sigma Green Belt preferred

Job Responsibility

Develops trusting and positive relationships with all customers, associates, leaders, physicians, patients, vendors, and visitors
Identifies actionable insights, suggests recommendations, and communicates results to cross-functional teams
Leads teams, work groups, projects, and activities designed to improve operational performance and processes
Manages own projects as assigned by department leadership team, with responsibility for meeting deadlines
Provides performance excellence and project management tools for initiatives and identifies opportunities for improvement
Prepares documents, diagrams, and presentations to illustrate findings. Presents to all levels of associates and leadership as well as external audiences
Conducts data analysis as needed for assigned projects
Research opportunities for performance excellence, maintains plans, and leads teams in achieving performance excellence
Coordinates with project managers, business and industrial engineers and various other teams to identify potential for improvement
Participates in special projects and performs other job duties as assigned

Fulltime

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Catering Administrative Specialist

The Catering Administrative Specialist plays a critical role in supporting the c...

Location

United States , New York

Salary:

23.00 USD / Hour

Aramark UK

Expiration Date

Until further notice

Requirements

2+ years of administrative, office support, or catering support experience preferred
Strong attention to detail with a high level of accuracy in data entry and documentation
Experience with invoicing, billing processes, and financial tracking
Proficient in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint)
Ability to manage multiple priorities in a fast-paced environment
Strong written and verbal communication skills
Highly organized with strong time management skills

Job Responsibility

Perform high-volume, accurate data entry related to catering orders, billing, and operational reports
Prepare, review, and process invoices in a timely and accurate manner
Maintain detailed records of catering events, contracts, and financial documentation
Reconcile billing discrepancies and partner with internal teams to ensure accurate reporting
Generate weekly and monthly reports using Microsoft Office tools
Manage administrative documentation including contracts, proposals, and event summaries
Support scheduling, communication, and coordination efforts between clients and internal teams
Maintain organized digital and physical filing systems
Assist leadership with ad hoc reporting and special administrative projects

What we offer

medical
dental
vision
work/life resources
retirement savings plans like 401(k)
paid days off such as parental leave and disability coverage

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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