Claims Resolution representative iv Job at University of Rochester (Brockport)

New

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

New

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

New

Claim Resolution Representative IV

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

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
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

New

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

New

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

New

DevOps Instructor

As an instructor, you will be responsible for the delivery of our technical cont...

Location

United Kingdom , London

Salary:

Not provided

Multiverse

Expiration Date

Until further notice

Requirements

Exceptional written and on-camera communication and facilitation skills, with proven ability to engage business audiences, including leaders
Skillfully adjust communication approaches to explain complex concepts to technical and non-technical stakeholders
Think critically and solve problems as they arise, especially in an online classroom setting
Committed to continuous professional development and staying current with industry trends
Experience with scripting languages (e.g., Python, Bash) for automation, or implementing monitoring and logging solutions
Industry experience applying DevOps principles to create efficient, scalable, and reliable software delivery pipelines in a business context
Seasoned professional with a minimum of 2 years of relevant experience
ideally in DevOps, Site Reliability Engineering, Cloud Engineering, or Software Development roles with a strong focus on CI/CD
Deeply interested in cloud platforms, automation, and infrastructure as code and regularly use these tools to improve productivity and operational efficiency
Right to work in the UK (sponsorship not offered for this role)

Job Responsibility

Responsible for the delivery of our technical content across our Level 4 DevOps apprenticeship programme
Support our apprentices in growing their understanding of how to implement continuous integration, continuous delivery, and robust infrastructure solutions through workshops and drop-in sessions
Help apprentices develop knowledge relating to the appropriate KSBs throughout their programme
Confidently facilitate delivery sessions of our technical Learning content, ensuring the session delivers against learning objectives within the allotted time
Adhere to the Coach Quality framework to ensure a consistent level of quality for every session and a consistent experience for every apprentice
Create a vibrant, inclusive and motivating environment that drives apprentice learning, engagement and overall satisfaction
Moderate assignments in line with mark schemes to ensure quality and consistency while providing feedback and feed forward for apprentices to continually develop their technical and durable skills
Maintain an owners mentality, being proactive in taking action, sharing feedback, or providing support to ensure the progress and success of learners
Regularly liaise with coaches to align on apprentice interventions to ensure successful completion of the programme
Coordinate with cohort coaches and operations members to align on apprentice development and progress

What we offer

27 days holiday, plus 5 additional days off: 1 life event day, 2 volunteer days, 2 company-wide wellbeing days and 8 bank holidays per year
Private medical Insurance with Bupa
Medical cashback scheme
Life insurance
Gym membership & wellness resources through Wellhub
Access to Spill - all in one mental health support
Hybrid work offering - with monthly visits to the London office
Work-from-anywhere scheme - up to 10 days per year
Weekly socials, company wide events and office snacks

Fulltime

New

Partner Diligence

The Partner Diligence team leverages deep regulatory compliance expertise to man...

Location

United States , San Francisco

Salary:

160000.00 - 250000.00 USD / Year

Column

Expiration Date

Until further notice

Requirements

10+ years of regulatory compliance experience in regulated financial services
Experience evaluating compliance programs
Familiarity with the fintech-banking partnership model, and key risks and risk mitigation strategies relevant to the partnership model
Deep understanding of commercial banking products, relevant requirements, and product-specific risks (e.g., lending, deposits, cross-border payments, etc.)
Fluency with key regulations, including those addressing Fair Lending, Privacy, Funds Availability, Truth in Lending, Electronic Funds Transfers, NACHA, E-Sign, UDAAP, and Prepaid Access
Experience presenting to senior management, the Board, and with regulators
Strong communication skills, both verbal and written

Job Responsibility

Partner closely with the business, finance, other risk leads, legal, compliance, and regulatory affairs in the ongoing execution of the Third-Party Risk Management Framework
End-to-end ownership for the risk management of third-party partner onboarding, including risk identification, due diligence, risk assessment, and control review
Extensive diligence and review of a prospective partner’s policies, procedures, customer agreements, TOS, audit reports, marketing materials, and disclosures
Advise on applicable compliance risks and related severity, appropriate internal controls, risk and issue identification, root cause analysis and remediation, and risk reporting and escalation
Develop corrective actions, where required, to ensure timely remediation by prospective partners of any open issues before launch
Develop compliance requirements and ongoing monitoring and reporting standards for Column’s oversight of each partner once live
Assess third-party risks in the context of the applicable risk appetite and related limits and thresholds
Play a key role in an effective governance program, including appropriate Third-Party Risk related committees, policies, procedures, and reporting

What we offer

Comprehensive health, dental, and vision plans, including options that are 100% covered by Column for you and 100% covered for your dependents
Comprehensive family planning and fertility benefits via partnership with Carrot, including reimbursement of up to $20,000 in qualified expenses
FSA and HSA account options to enable use of pre-tax money for medical and dependent care expenses
401k plan, including self-directed brokerage options
Flexible time-off policy
100% paid parental leave, including 16 weeks for birth mothers, 12 weeks for primary caregivers, and 8 weeks for secondary caregivers
Catered lunches and dinners for SF employees
Commuter benefits
Regular team building events, including annual offsite

Fulltime

New

Digital Assets Compliance

We’re hiring for a Digital Assets Compliance role to operate Column’s compliance...

Location

United States , San Francisco

Salary:

165000.00 - 220000.00 USD / Year

Column

Expiration Date

Until further notice

Requirements

4-5+ years of experience in financial crimes compliance
At least 3 years working on digital assets, crypto, or blockchain-related compliance
Must include some experience in investigations
Expert knowledge of BSA/AML requirements and how they apply to digital assets
Strong understanding of stablecoin mechanics, blockchain technology, and crypto payment flows
First-principles thinker who can design robust systems from scratch
Strong technical aptitude — comfortable working with engineering teams
Comfortable operating in ambiguity and making risk-based decisions with incomplete information
High EQ and strong stakeholder management skills
can build trust with regulators, auditors, and internal teams

Job Responsibility

Run crypto investigations
Perform extensive investigations related to transaction monitoring and screening
Prepare and document triage investigations and their dispositions
Review transaction and wallet screening reports for potential OFAC violations
Operate the AML/BSA monitoring capabilities for stablecoin and crypto payment products
Refine and maintain a comprehensive sanctions compliance program for digital assets
Expand existing suspicious activity monitoring and sanctions screening tools and processes
Serve as the primary AML subject matter expert to product and engineering teams
Translate regulatory requirements into concrete technical specifications
Conduct compliance reviews of new product features and partnerships before launch

What we offer

Comprehensive health, dental, and vision plans
Comprehensive family planning and fertility benefits via partnership with Carrot
Up to $2,000 (post-tax) monthly rent subsidy for employees living within 2 miles of Column’s office
FSA and HSA account options
401k plan, including self-directed brokerage options
Flexible time-off policy
100% paid parental leave
Up to $4,500 in annual reimbursements for backup childcare
Catered lunches and dinners for SF employees
Commuter benefits, including paid transportation to-and-from the office

Fulltime

Claims Resolution representative iv

University of Rochester

Location:
United States of America , Brockport

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 20, 2026

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Claims Resolution representative iv

University of Rochester

Location:United States of America , Brockport

Category:Finance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:February 20, 2026

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February 20, 2026