CrawlJobs Logo

Claims Resolution representative iv

United States of America, Brockport 20.99 - 28.34 USD / Hour · Job Posted February 20, 2026
Apply Position
Job Link Share

Job Description

Wilmot Cancer Institute is looking for an experienced, compassionate, and detail-oriented Insurance Biller - Bone Marrow Transplant to join our growing team. The successful candidate will need to demonstrate a commitment to excellence and have the ability to collaborate with a diverse team. If you are looking for an exciting opportunity to make a difference in the lives of cancer patients, this is the position for you!

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

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

Nice to have

  • Experience in transplant programs including contracting, provider relations, or transplant billing and collections
  • comprehensive understanding of insurance billing procedures
  • commitment to providing excellent patient care
  • strong attention to detail
  • commitment to excellence
  • ability to collaborate with a diverse team
  • excellent customer service skills
  • ability to interact with a variety of personality types

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Claims Resolution representative iv

8 matching positions

Claim Resolution Representative IV, Hospital/Provider

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
20.99 - 28.34 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 3 years of relevant experience required
  • Or equivalent combination of education and experience
Job Responsibility
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
Read More
Arrow Right

Claim resolution representative iv, hospital/private

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
20.99 - 28.34 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 3 years of relevant experience required
  • Or equivalent combination of education and experience
Job Responsibility
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
Read More
Arrow Right

Claim Resolution Representative IV, Hospital/Provider

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
20.99 - 28.34 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 3 years of relevant experience required
  • Or equivalent combination of education and experience
Job Responsibility
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
Read More
Arrow Right

Claim Resolution Representative IV

Performs follow-up activities designed to bring all open account receivables to ...
Location
Location
United States of America , Rochester
Salary
Salary:
20.99 - 28.34 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 3 years of relevant experience required
  • Or equivalent combination of education and experience
Job Responsibility
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
  • Determines cause of problem and initiatives corrective action through reviews of electronic medical records
  • Works to confer with external agencies
  • Analyzes accounts and determines if correct proration of revenue has been collected
  • Contacts applicable agency, payer or department for resolution
  • Decides when resubmitting efforts are complete, including writing an appeal
  • Fulltime
Read More
Arrow Right

Claim Resolution Representative IV

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
20.99 - 28.34 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 3 years of relevant experience required
  • Or equivalent combination of education and experience
Job Responsibility
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
Read More
Arrow Right
New

Vice President

iCapital is looking to hire an investment product specialist Vice President to s...
Location
Location
China , Hong Kong
Salary
Salary:
Not provided
icapital.com Logo
iCapital Network
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of experience working within the alternative investment industry in a client facing capacity (e.g., Investor relations at GPs or distribution specialist at placement agents, fund of funds and asset management firms with alternative investment product experience)
  • A self-starter who demonstrates the ability to work in a fast-paced entrepreneurial environment and follow a rigorous sales process
  • Strong team orientation with exceptional organizational and interpersonal skills especially in a cross-boarder and small team-working environment
  • Strong with Microsoft powerpoint and has excellent verbal and written communication skills
  • Local regulatory licensing is required
  • Relevant language skills is a plus
Job Responsibility
Job Responsibility
  • Leverage a consultative sales process to acquire new relationships, expand existing client relationships, and service assets under management
  • Develop high level of sales proficiency with iDirect offerings in private equity, private credit, and hedge funds and other future iDirect products and a good understanding of the asset class as well as product comparison purposes
  • Traveling is required to markets to meet with gatekeepers, advisors, industry bodies, end clients in support of the broader sales and educational effort
  • Assist in the planning and execution of roadshows and conferences
  • Work alongside the in region Client Solutions team personnel on client pitches, product positioning, and sales campaigns
  • Leverage technology input and reporting tools to support sales management activities
  • Fulltime
Read More
Arrow Right

Customer Assistant II

Location
Location
United States , Amherst
Salary
Salary:
26.06 - 29.33 USD / Hour
mma.org Logo
Massachusetts Municipal Association
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school degree or equivalent PLUS one to three years of experience in accounting, bookkeeping, or cash handling
  • OR any equivalent combination of related education and experience that demonstrates the ability to successfully perform the responsibilities of the position
Job Responsibility
Job Responsibility
  • Perform a full range of complex procedural accounting and clerical duties associated with computation, reconciliation and posting to accounts for town collection areas (e.g., Water and Sewer, Parking)
  • Fulltime
Read More
Arrow Right

Care Assistant - Days

Are you ambitious? Do you want something else? Are you looking for new energy? W...
Location
Location
United Kingdom , Poynton
Salary
Salary:
12.75 GBP / Hour
jobs.360resourcing.co.uk Logo
360 Resourcing Solutions
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • No previous experience or qualifications needed
  • Enhanced DBS check in relation to Children and Adults required
Job Responsibility
Job Responsibility
  • Support with personal care needs
  • Help residents take part in a wide range of special interests and activities that support their health and wellbeing such as arts and crafts, watching the footie, drama, musical evenings, gardening, shopping trips and social occasions
What we offer
What we offer
  • Discounts on Shopping, Fashion, Days out, Travel, Entertainment and lots more
  • Flex Earn – Earned wage access
  • FREE face-to-face counselling for you and your family
  • Staff recognition award ceremonies
  • £30 voucher available every month for the nominated Employee of the month
  • Opportunities for training and career progression
  • Salary Sacrifice Pension scheme
  • Blue Light Card – up to 50% discount across 100’s of retailers
  • Access to a FREE eye test and discounted glasses
  • Cashback card – save up to £500 annually
  • Fulltime
Read More
Arrow Right