Claim Resolution Representative IV, Hospital/Provider Job at University of Rochester (Rochester)

Claim Resolution Representative IV, Hospital/Provider

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

Location

United States of America , Rochester

Salary:

20.99 - 28.34 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree and 3 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 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
Independently determines the most effective method to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts
Identifies and resolves problems related to primary and secondary accounts which are disputed, unpaid, underpaid or overpaid
Acts as a resource for questions from assigned collection and billing staff on payer policies, procedures and methods of revenue collection
Trains new staff on the use of the billing application, payer systems, and clearinghouse systems
Researches and responds to clinical department inquiries on complex, high dollar, and specialized accounts and status of collection activities
Resolves accounts identified in third party audits involving retroactive approvals, resulting in adjustments, refunds, and subsequent secondary billing
Identifies need for in-person meetings and phone conferences with third party insurance representatives

Fulltime

New

Account Executive - Customer Base Major Accounts

Your work days are brighter here. We’re obsessed with making hard work pay off, ...

Location

USA , Chicago; Remote

Salary:

131200.00 - 196800.00 USD / Year

Workday

Expiration Date

Until further notice

Requirements

8+ years of experience selling SaaS/Cloud based ERP / HCM / Financial / Planning / or Analytics solutions to C-levels from a field sales position
8+ years experience collaborating with internal teams (pre-sales, value, inside sales) to achieve quota and run multiple deals at once
8+ years experience managing 18+ month long sales cycles end to end and nurturing the relationship throughout
8+ years experience forming relationships at the executive level within both existing and new business units
while sharing Workday value propositions
Understanding of the strategic competitive landscape by staying up to date with trends and customer needs so you can effectively position Workday solutions within accounts
Able to quickly establish trust with key stakeholders
Experience partnering with internal team members on account strategies for short and long term territory management
Excellent verbal and written communication skills

Job Responsibility

Be responsible for developing and maintaining relationships with existing customers with a focus on upselling via deal management
Perform account planning for assigned accounts, coordinating with pre-sales and other resources to ensure strategic alignment
Drive strategic add-on and renewal business of Workday solutions within Major Account customers
Coordinate cross functionally with Workday’s internal teams (pre-sales, digital, value & bid-management, marketing, technical and sales support)

What we offer

Workday Bonus Plan or a role-specific commission/bonus
annual refresh stock grants

Fulltime

New

Instructional Coordinator (Community Schools Coordinator)

The Community Schools Coordinator works within assigned component school distric...

Location

United States , Newark

Salary:

75000.00 - 85000.00 USD / Year

Wayne Finger Lakes BOCES

Expiration Date

June 24, 2026

Requirements

New York State Certification in Teaching, Social Work, or School Counseling required
Demonstrated experience as an educator providing support services to students and families
Strong knowledge of community school models, family engagement strategies, and collaborative partnerships
Ability to analyze data and use findings to inform program development and decision-making
Strong communication, organization, and facilitation skills
Experience working with diverse populations and engaging underrepresented families

Job Responsibility

Work with component district administration to develop and implement the community school approach which is to be aligned with district and regional priorities
Serve on assigned steams as representing community school concepts
Provide leadership to promote the community school model through technical assistance to component districts in advancing community schools concepts
Facilitate focus groups of administrators, teachers, school staff, parents, and students identifying areas of strength and challenges within the school
Develop an inventory that outlines resources and gaps in service
Utilize data from various sources to organize partnerships and supports to meet school regional needs
Align community and school resources to ensure coherence without duplication of services
Direct family engagement and involvement in collaboration with school staff and administration
Develop opportunities to allow underrepresented parents a voice while providing schools with needed feedback from parents traditionally disengaged from school
Coordinate and align school, district, community, and regional resources to ensure coherent service delivery and minimize duplication of services across component districts

What we offer

paid holidays & leave time
NYS retirement
health & dental insurance

Fulltime

New

Justice Social Worker

As a Social Worker within our Domestic Abuse Service, you will play a crucial ro...

Location

United Kingdom , Edinburgh

Salary:

Not provided

Randstad

Expiration Date

August 17, 2026

Requirements

A recognised Social Work qualification (e.g., BA/MA in Social Work, DipSW)
Registration with the Scottish Social Services Council (SSSC) as a Social Worker
A full driving licence and access to a vehicle

Job Responsibility

Conduct in-depth Caledonian Assessments with men convicted of domestic abuse offenses, adhering to the core principles and standards of the Caledonian System
Analyze complex information to identify risk, need, and protective factors related to the perpetration of domestic abuse
Formulate clear and concise assessment reports, providing recommendations for intervention and risk management
Liaise and collaborate with a wide range of professionals, including probation officers, police, and other agencies
Participate in multi-agency risk assessment conferences (MARACs) and other forums to ensure a coordinated response to domestic abuse
Maintain accurate and detailed case records in accordance with service policies and procedures
Contribute to the ongoing development and improvement of our domestic abuse services

What we offer

Flexible Hours: Control your work hours and choose assignments that fit your lifestyle
Competitive Pay Rates: We offer highly competitive remuneration for each placement
Professional Development: Opportunities to work across various departments, enhancing your skills and broadening your expertise
Free training: Keep up to date with your Continuous Professional Development
Pension Scheme: Contributory pension
Referral Bonus: Receive £300 in vouchers (subject to Ts and Cs)
Weekly payroll: Randstad runs a twice weekly payroll, enabling you to control your finances by receiving weekly pay
Dedicated Support: Our team is here to assist you at every step, from onboarding through the entirety of your placement. We can even help with sourcing accommodation and travel, if required

Fulltime

New

Reading Teacher

ANTICIPATED VACANCY 2026-2027 SCHOOL YEAR Reading Teacher One-Year Leave Repl...

Location

United States

Salary:

Not provided

Wayne Finger Lakes BOCES

Expiration Date

June 05, 2026

Requirements

Applicants must hold valid New York State Reading K–12 Certification
Wilson certification preferred.

Job Responsibility

Design and implement effective reading instruction aligned with state standards and best practices
Assess students’ reading abilities using formal and informal assessments to inform instruction
Develop and deliver differentiated reading interventions for students at various skill levels
Provide direct instruction in phonemic awareness, phonics, fluency, vocabulary, and comprehension
Collaborate with classroom teachers to integrate literacy strategies across subjects
Utilize data-driven decision-making to track student progress and adjust instruction as needed
Engage families in literacy initiatives and provide resources to support reading at home
Stay current with research-based literacy instruction and professional development
Create a positive, inclusive, and engaging learning environment for all students

Fulltime

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New

Conveyor Electrician

We are currently seeking experienced Conveyor Electricians for a commercial conv...

Location

United States , Middletown

Salary:

33.00 USD / Hour

Summit Skilled Solutions

Expiration Date

Until further notice

Requirements

Previous conveyor or industrial electrical installation experience
Experience installing cable trays and premanufactured cable systems
Ability to perform dead testing prior to startup
OSHA 10 Certification
Lockout/Tagout (LOTO) Training (will provide if needed)
Fall Protection Certification (will provide if needed)
Reliable transportation and basic electrical tools/PPE

Job Responsibility

Install conveyor system electrical components and equipment
Install cable tray systems and support structures
Pull and install premanufactured cables
Perform electrical terminations and connections
Complete dead testing prior to startup and commissioning
Read and work from prints, layouts, and installation drawings
Maintain safe work practices on an active industrial jobsite
Work alongside mechanical and controls teams to complete installation milestones

What we offer

$100/Day Per Diem

Fulltime

New

Patient Care Tech/ Unit Clerk - Pediatrics

Patient Care Tech/ Unit Clerk - Pediatrics - Tucson, Arizona - Full Time - Allie...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High school diploma or general education degree (GED), or an equivalent combination of relevant education and experience
One (1) year of patient care experience, preferably in an acute care setting
or no experience if completed one semester of clinicals in an acute care setting in an accredited nursing program, or completed a formal Patient Care Tech (PCT) program, or obtained a Certified Nursing Assistant (CNA) certification, or obtained a Licensed Nursing Assistant (LNA) licensure
Basic Life Support (BLS) certification required
Additional certifications may be required per department
Knowledge of patient care protocols and practices
Knowledge of general patient care practice, methods and regulations
Knowledge of patient privacy regulations
Knowledge of appropriate customer service interaction skills as it relates to greeting and assisting by phone or in person
Skill in attending to patients with care and attention to needs

Job Responsibility

Maintains confidentiality and protects sensitive data at all times, including patient information, proprietary information and personnel information
Formulates and implements accurate and timely care
Takes care of the body after death
Assists patients with activities of daily living
Takes vital signs, weighs patients, and collects routine urine specimens
cleans catch specimens, stool specimens, and sputum specimens
Maintains patient safety and infection control standards
promotes a safe therapeutic environment that allows for the delivery of high-quality patient care
Cleans and prepares rooms between procedures and discharges
monitors and restocks supplies

Fulltime

New

Accounts Payable Clerk

We are looking for an Accounts Payable Clerk to join a team in a contract-to-per...

Location

United States , Winston-Salem

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience supporting accounts payable functions in a detail-oriented office or accounting environment
Working knowledge of invoice processing, invoice coding, and payment entry procedures
Ability to handle data entry tasks with a high level of speed and accuracy
Familiarity with check runs and standard accounts payable workflows
Strong organizational skills with the ability to manage multiple deadlines and priorities
Clear written and verbal communication skills for coordinating with vendors and internal teams
Proficiency with basic accounting systems and standard office software

Job Responsibility

Review incoming invoices, confirm supporting details, and enter payment information accurately into the accounting system
Assign appropriate codes to invoices to ensure expenses are recorded correctly and routed for proper approval
Process accounts payable transactions in a timely manner while maintaining accuracy across vendor records and internal documentation
Prepare and assist with check runs, verifying amounts, due dates, and payment approvals before release
Reconcile invoice information with purchase or payment records to resolve discrepancies and prevent delays
Maintain organized financial files and supporting documentation for audits, reporting, and day-to-day reference
Communicate with vendors and internal departments to answer payment questions and address invoice-related issues

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

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Claim Resolution Representative IV, Hospital/Provider

Job Description

Job Responsibility

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Looking for more opportunities?

Claim Resolution Representative IV, Hospital/Provider

Claim Resolution Representative IV, Hospital/Provider

Account Executive - Customer Base Major Accounts

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Reading Teacher

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Patient Care Tech/ Unit Clerk - Pediatrics

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