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Claims Resolution Representative III

urmc.rochester.edu Logo

University of Rochester

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Location:
United States of America , Albany

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Category:
Finance

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Contract Type:
Not provided

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Salary:

19.62 - 26.49 USD / Hour
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Job Description:

The Claims Resolution Representative III is responsible for working across the professional fee organization, handling follow-up activities designed to bring all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue collection and closure.

Job Responsibility:

  • Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable
  • Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections
  • Research claims, identify problems, and takes appropriate action to assure claim resolution
  • Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
  • Keeps management informed of changes in billing requirements and rejection or denial codes
  • Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists

Requirements:

  • Associate degree and 2 years of related relevant experience
  • or equivalent combination of education and/or experience
  • Excellent problem-solving skills
  • Excellent communication skills
  • Excellent customer service skills

Nice to have:

  • Strong working knowledge of the professional billing software applications
  • Ability to type 25 wpm

Additional Information:

Job Posted:
February 21, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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