Claims Resolution Representative III Job at University of Rochester (Rochester)

New

Claim Resolution Representative III

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
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

Fulltime

New

Claim Resolution Representative III

Performs follow-up activities designed to bring all open account receivables to ...

Location

United States of America , Albany

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

Claim resolution representative iii

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

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 , Albany

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

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

Claim Resolution Representative III

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

Claim Resolution Rep III

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