Claim Resolution Representative IV Job at University of Rochester (Rochester)

Claim Resolution Representative IV

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
Researches and responds to clinical department inquiries on complex, high dollar, and specialized accounts and status of collection activities affecting departmental revenue
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 due to claim and system issues requiring prompt attention for complex high dollar accounts
Identifies and clarifies issues that require management and intervention to avoid loss of revenue

Fulltime

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

Claim resolution representative iv, hospital/private

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 due to claim and system issues

Fulltime

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 affecting departmental revenue
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 due to claim and system issues requiring prompt attention for complex high dollar accounts

Fulltime

Claims Resolution representative iv

Wilmot Cancer Institute is looking for an experienced, compassionate, and detail...

Location

United States of America , Brockport

Salary:

20.99 - 28.34 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree in Business Administration and 2 years of hospital patient accounting or consumer collections experience
or an equivalent combination of education and experience
Ability to type 25 wpm
Experience working with transplant programs including, but not limited to transplant contracting, transplant provider relations, transplant billing and collections, etc.
Must be able to multi-task and pivot across duties as needed

Job Responsibility

Acts as billing and collections resource
Completing National Marrow Donor Billing
Responsible for resolving Work Queues in EPIC
Research and analyze denials
Routinely works hospital reports to ensure claims are sent timely
Edits follow up bills originated by EPIC
Responsible for communicating with insurance companies, other payers, and patients
Trains all claims resolution specialists that join the WCI Business office

Fulltime

New

Construction Project Accountant

We are looking for a detail-oriented Project Accountant to support the financial...

Location

United States , Hoover

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3 to 10 years of experience in project accounting, preferably within architecture, engineering, construction, or a closely related industry
Working knowledge of project billing, contract-based invoicing, and job cost accounting
Strong proficiency in Microsoft Excel and experience using accounting or project financial software
Hands-on experience with Deltek Vantagepoint or Deltek Vision is strongly preferred
Bachelor’s degree in Accounting, Finance, or a related field is helpful, though relevant industry experience preferred

Job Responsibility

Establish project financial records and organize billing timelines based on contract terms and project milestones
Monitor project performance by tracking revenue, expenses, and progress using percentage-of-completion accounting methods
Prepare, review, and submit client invoices with accuracy and according to agreed billing schedules
Evaluate and record consultant, engineering, and vendor proposals and invoices under the correct project accounts
Maintain detailed job cost information and manage accruals to support compliant revenue recognition practices

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan
Free online training
Access to top jobs and competitive compensation

New

Project Operations Manager

As a Project Operations Manager, based in Chicago, Illinois or New York City, yo...

Location

United States , Chicago, New York

Salary:

Not provided

Adyen

Expiration Date

Until further notice

Requirements

Experienced with setting-up complex (ideally technical) projects with multiple stakeholders
Client-facing experience, stakeholder management, ability to lead conversations and influence business decisions
Excellent Project Management skills and the ability to lead and manage detailed, time-sensitive initiatives in a fast-paced environment with minimal supervision
Able to interface and cooperate seamlessly with a global team, adapting to international time constraints where appropriate
Must be willing to travel, both domestically and internationally where required.

Job Responsibility

Manage the project lifecycle from start to finish, ensuring that our clients are fully prepared to roll-out Adyen’s solution
Responsible for managing 5-10 projects at any given time with a project duration ranging from 6 months to 2 years
Work closely with clients’ project and technical teams as well as third parties such as technical integration partners to ensure a smooth roll-out
Build relationships with both internal and external stakeholders to ensure effective management and communication of progress to all parties
Provide guidance on Adyen’s product and advise on the solution that best fits clients’ business needs
Deliver client feedback to internal teams to improve our product and services
Ensure successful project handovers once the rollout has been completed by setting up scalable business as usual and support processes
Contribute to internal process improvement initiatives to help our business scale.

What we offer

Equity (RSUs)

Fulltime

New

Supply Chain Specialist

At Boeing, we innovate and collaborate to make the world a better place. We’re c...

Location

United States , Hazelwood

Salary:

90100.00 - 121900.00 USD / Year

Boeing

Expiration Date

June 22, 2026

Requirements

3+ years’ experience in asset management
3 + years’ experience in Supplier Management/Procurement as a Purchasing Agent or Buyer, Supplier Program Manager, Supply Chain Management Analyst/Item Manager, or Supply Base Manager?
3 + years’ experience working with supply chain management software? For example: ERP, MRP, Epicor SCM or Oracle SCM, etc
3 + years’ experience with GOLD
3 + years’ experience with Microsoft Office Products like Outlook, PowerPoint, Excel, and Word

Job Responsibility

Provide status reports, briefs, and metrics relating to performance and mission readiness
Ensure timely Procurement Requisition creation in SAP to meet urgent requirements
Work closely together with supply chain counterparts to ensure execution of needed procurements
Conduct Risk, Issue and Opportunity management
Maintain a record of demands and situations that arise to help with future demand planning
Collaborate and support ILS team members in site shipment arrangements/execution
Participate in system improvement transition initiatives for inventory management
Review bottlenecks across the business in order to adjust forecasting and supply planning
Coordinate to ensure current supply status and contract commitments meet program schedules and plans
Manage stock shortages and spares demands with stakeholders, suggesting risk mitigation strategies and working with Boeing stakeholders to avoid operational impacts

What we offer

competitive base pay and variable compensation opportunities
health insurance
flexible spending accounts
health savings accounts
retirement savings plans
life and disability insurance programs
paid and unpaid time away from work
generous company match to your 401(k)
industry-leading tuition assistance program pays your institution directly
fertility, adoption, and surrogacy benefits

Fulltime

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Claim Resolution Representative IV

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Claim Resolution Representative IV

Claim Resolution Representative IV

Claim Resolution Representative IV, Hospital/Provider

Claim resolution representative iv, hospital/private

Claim Resolution Representative IV, Hospital/Provider

Claims Resolution representative iv

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