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

Director / Senior Director – People & Culture

The Director – People & Culture is responsible for executing the organization's ...

Location

Pakistan , Karachi, Lahore

Salary:

Not provided

10Pearls

Expiration Date

Until further notice

Requirements

10+ years of progressive HR experience with ownership of people programs
Experience in technology or professional services environments
Proven track record in performance management, engagement, and change management execution
Experience leading or managing a small HR team or function
Experience working in growth or transformation environments
AI-first mindset with the ability to apply AI-enabled tools to improve people processes, analytics, and decision-making
Strong program ownership with the ability to drive multiple initiatives to completion
Data-driven mindset with the ability to translate insights into action
Strong stakeholder management and influencing skills across leadership levels
Solid understanding of HR frameworks, compensation structures, and policy design

Job Responsibility

Execute organizational design initiatives, translating strategy into team structures, roles, and operating models
Drive change management plans for restructuring and role transitions in partnership with business leaders
Drive capability-building initiatives aligned to AI-first workforce needs
Leverage AI-driven tools within HR processes to improve efficiency, analytics, and decision-making
Build and reinforce a high-performance, ownership-driven culture
Track performance, engagement, and retention trends
provide data-backed insights to Drive execution of the performance management framework consistently across all levels, including goal-setting, mid-year reviews, and year-end calibration
Lead engagement initiatives and ensure business leaders own team-level outcomes
Act as a trusted advisor on culture and employee experience
Oversee HR operations to ensure consistency, compliance, and scalability across the employee lifecycle

Fulltime

IT Manager

We are looking for a hands on IT Manager to lead technology operations for a non...

Location

United States , Salinas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in an IT management role or in a lead position within information technology
Demonstrated success supervising personnel and coordinating the work of technical teams
Experience supporting multi-platform hardware environments and managing enterprise-level software applications
Working knowledge of IT operations, networking, programming, cybersecurity, storage, virtualization, and voice systems
Understanding of laws, standards, and compliance considerations related to IT management, preferably in healthcare environments desirable
High school diploma or equivalent required
Strong written and verbal communication skills, bilingual in Spanish a plus
Relevant technical certifications, hospital information systems experience, and familiarity with healthcare software platforms are preferred

Job Responsibility

Direct daily IT operations, ensuring dependable performance across infrastructure, end-user systems, and essential business applications
Lead and support technical staff by assigning priorities, developing team capabilities, and maintaining accountability for service delivery
Manage the administration and upkeep of enterprise software used by clinical and operational departments, including troubleshooting and vendor coordination
Maintain secure and efficient network services, voice communications, backup processes, and data center resources to support organizational continuity
Apply sound knowledge of IT governance, security practices, and relevant regulations when planning, implementing, and monitoring technology services
Partner with internal stakeholders to identify technical needs, resolve system issues, and improve user experience across the organization
Evaluate technical problems, recommend practical solutions, and help guide infrastructure and application improvements based on business needs

What we offer

Access to top jobs
Competitive compensation and benefits
Free online training
Medical, vision, dental, and life and disability insurance (for contract/temporary professionals)
401(k) plan (for contract/temporary professionals)

Fulltime

Clinical Governance & Patient Safety Facilitator

Join our team as a Clinical Governance & Patient Safety Facilitator and make a d...

Location

United Kingdom , Chesterfield

Salary:

40046.00 - 45970.00 GBP / Year

Ashgate Hospicecare

Expiration Date

Until further notice

Requirements

Professional registration with an appropriate healthcare regulatory body (NMC, HCPC, GMC or GPhC) and relevant post-registration experience
Working knowledge of incident investigation processes, including PSIRF principles and a systems-based approach
Understanding of human factors and patient safety, with the ability to apply this in practice
Good knowledge of clinical governance, risk management, and regulatory standards (e.g. CQC)
Experience supporting teams to improve patient safety and quality of care
A commitment to just culture principles, encouraging openness, reflection, and learning
Strong organisational, communication and analytical skills, with the ability to manage a varied workload and competing priorities
Ability to work independently while contributing effectively within a multidisciplinary team

Job Responsibility

Supporting patient safety and governance – coordinating incident management processes, investigations, risk management, medicines governance, CAS alerts and coronial cases
Driving clinical effectiveness and quality improvement – supporting clinical audits, benchmarking against national standards and helping ensure policies and documentation reflect best practice
Monitoring improvement actions – tracking actions arising from incidents, audits, complaints and reviews to ensure improvements are implemented and sustained
Supporting patient experience – working with colleagues to monitor feedback, complaints and improvement plans
Promoting learning and development – sharing lessons learned, contributing to training and supporting a positive culture of openness, learning and continuous improvement
Supporting governance and compliance – contributing to governance meetings, organisational reporting and CQC readiness activities
Providing leadership support – deputising for the Head of Clinical Governance & Patient Safety when required

What we offer

Generous holiday entitlement, with the option to buy and sell leave
Flexible working options, including job-sharing where possible
Pension scheme with up to 7% employer contribution
A Health Cash Plan, helping cover costs such as dental care, physiotherapy, and eye tests
A life assurance scheme, giving peace of mind for you and those important to you, up to age 65
A free confidential Employee Assistance Programme, available 24/7
Cycle to Work scheme and Tech Benefit scheme to help spread the cost of your next purchase
Commitment to training, development and career progression
Free, on-site parking
Discounted, onsite café at our Old Brampton site, for all staff

Fulltime

Paid Media Manager

We’re seeking a Paid Media Manager to step into a high-impact role owning strate...

Location

United States , Lincolnton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

5+ years of hands-on paid media/digital marketing experience
Strong expertise in Google Ads, Meta Ads, and multi-channel campaign management
B2B marketing experience required
manufacturing or industrial sector experience strongly preferred
Proven ability to analyze performance data and translate insights into strategy
Experience improving conversion rates, lead quality, and digital ROI
Strong understanding of digital funnels, attribution, and customer journey optimization
Comfortable working independently and driving strategy—not just execution
Experience collaborating with creative teams and internal stakeholders

Job Responsibility

Manage and optimize paid digital campaigns across Google Ads, Meta (Facebook/Instagram), geofencing, and other digital platforms
Evaluate current campaign performance and identify opportunities to improve ROI and conversion rates
Develop and refine paid media strategy across B2B-focused initiatives (with some B2C exposure)
Analyze user behavior, funnel performance, and customer journey insights in partnership with internal teams
Improve lead generation and website conversion performance through data-driven campaign adjustments
Collaborate closely with creative and internal marketing teams to align campaign execution and messaging
Provide clear reporting on campaign performance, channel effectiveness, and spend optimization
Recommend and implement improvements to targeting, structure, and budget allocation

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Principal Data Consultant

10Pearls is seeking a Senior Principal Data Engineer with strong expertise in mo...

Location

Pakistan , Islamabad; Lahore; Karachi

Salary:

Not provided

10Pearls

Expiration Date

Until further notice

Requirements

Bachelor's or Master's degree in Computer Science, Engineering, or a related field
Minimum 7+ years of experience in Data Engineering and large-scale data platforms
Strong expertise in Big Data technologies including Hadoop, Spark (including Spark Streaming), Kafka, Hive, Airflow, and Apache NiFi
Advanced proficiency in Python and SQL
Hands-on experience with Azure Data Platform services including Azure Data Factory (ADF), Azure Databricks, Azure Data Lake Storage (ADLS), Azure Synapse Analytics, Azure Functions, and Logic Apps
or equivalent data stack knowledge within Google Cloud or AWS Cloud
Hands-on experience with Google BigQuery, Google Analytics, and Clickstream data modelling
Strong experience in building and maintaining ETL/ELT pipelines
Proficiency in relational SQL, Graph, NoSQL, and distributed database technologies
Proficiency in Elasticsearch and Couchbase databases

Job Responsibility

Design, develop, and maintain scalable batch and real-time data pipelines to support growing data volume and complexity
Build and optimize data solutions on cloud-based and on-premises data platforms (Azure, AWS, Google Cloud)
Develop data models, data marts, and data domains including laying the foundation for Data Mesh architecture
Implement and maintain ETL/ELT processes for efficient data integration and transformation
Collaborate with data analysts, data scientists, and business stakeholders to deliver reliable data solutions
Ensure data quality, governance, security, and compliance across the full data ecosystem including access controls, data masking, and encryption
Automate deployment, scheduling, monitoring, and management of data pipelines and datasets
Monitor platform performance and troubleshoot data-related issues while providing L2/L3 production support
Develop and maintain data orchestration frameworks and DataOps best practices
Optimize existing data infrastructure and recommend improvements for scalability and performance

Fulltime

Retail Merchandiser Team Driver

Retail Merchandiser - DRIVER. Do you want to work in a retail environment as par...

Location

United Kingdom , Middlesbrough

Salary:

12.71 - 13.21 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Full UK driving licence
over 21 years old
been driving for at least two years
knowledge of retailing and experience of planograms and merchandising is useful but not essential
good work attitude

Job Responsibility

Merchandise and replenish shelves using planograms to set timescales
profile shelving, install equipment and implement display to a high standard
clean and maintain equipment and general housekeeping
lifting and manual handling up to 25kg (male) 16kg (female) may be involved

What we offer

Hired car delivered and collected to and from your home
pre-paid shared (twin room) accommodation with breakfast
uniform/PPE
development opportunities
accrual of holiday pay to be paid out when you are not working

Interim Director of Advice Services

The Director of Advice Services provides strategic leadership for Toynbee Hall’s...

Location

United Kingdom , London

Salary:

80000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Experience of leading large-scale advice, support, health, justice or community services and projects
Proven experience of business development, income generation and securing funding or contracts
Experience of leading complex partnerships / multi-agency programmes
Experience of negotiating and managing significant contracts, grants and service agreements
Strong understanding of service quality, governance, compliance and risk management
Experience of budget management, financial planning and working with finance colleagues to support effective financial oversight
Ability to build relationships and influence at senior level with funders, commissioners, regulators and strategic partners

Job Responsibility

Lead the strategic direction and development of the Advice Services Directorate
Contribute to organisational strategy and planning as a member of the Senior Management Team
Ensure services align with Toynbee Hall’s mission, strategic objectives and organisational priorities
Work with Finance colleagues to develop budgets, forecasts and financial plans across the Directorate
Ensure services operate within agreed budgets and deliver value for money
Monitor financial performance across contracts, grants and programmes, identifying risks and opportunities
Lead the development and delivery of the Directorate’s growth strategy
Identify new funding, commissioning and partnership opportunities
Lead the development of bids, tenders and funding proposals
Provide strategic oversight of all contracts, grants and service agreements

What we offer

25 days of annual leave, plus 3 additional days for our Christmas shutdown (on top of bank holidays)
After 2 years: +3 extra days of leave
After 3 years: +1 additional day
After 5 years: A total of 30 days annual leave, plus the 3-day Christmas shutdown
Standard Life Pension Scheme – Employer contribution: 4%, Employee contribution: 5%
Enhanced Sick Pay
Enhanced Maternity & Paternity Leave
Employee Eyecare Vouchers
Employee Assistance Programme
Mental Health First Aid

Fulltime

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Claim Resolution Representative IV, Hospital/Provider

Job Description

Job Responsibility

Requirements

Looking for more opportunities?

Claim Resolution Representative IV, Hospital/Provider

Claim Resolution Representative IV, Hospital/Provider

Director / Senior Director – People & Culture

IT Manager

Clinical Governance & Patient Safety Facilitator

Paid Media Manager

Principal Data Consultant

Retail Merchandiser Team Driver

Interim Director of Advice Services

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