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

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

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

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

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

Carpenter/Handyman

We are growing - join our Defence division at Service Stream supporting the PAS ...

Location

Australia , Holtze

Salary:

Not provided

Service Stream

Expiration Date

Until further notice

Requirements

Previous experience in a construction, maintenance, or industrial environment
Hands-on exposure to assisting qualified trades such as carpenters, electricians, plumbers, or landscapers, or be a qualified Carpenter
Familiarity with using basic hand and power tools
Experience performing manual labour tasks such as lifting, digging, or site clean-up
Demonstrated ability to follow instructions and work safely on active job sites
Experience working as part of a team in fast-paced or physically demanding settings
White Card
Must be an Australian Citizen and able to obtain and maintain a Defence Security Clearance

Job Responsibility

Assisting tradespeople with tasks such as measuring, cutting, assembling, and installing materials
Preparing and cleaning work areas, ensuring tools and equipment are ready for use
Performing general maintenance tasks including patching, painting, tiling, and minor plumbing work
Loading, transporting, and organising materials and supplies on-site
Operating basic hand and power tools under supervision
Performing general labouring duties including lifting, digging, and site clean-up
Communicating effectively with team members and supervisors

What we offer

Career development – growth opportunities and support internal mobility, access to skill enhancement through online learning system and onsite training
Access – discounts for hundreds of businesses such as Woolworths, Air BNB, The Iconic, JB HI-FI, Dan Murphys, Bupa Health Care, and Specsavers, access to novated leasing and a share matching program
Paid leave – parental, cultural, community service, defence, study, corporate volunteering and purchased leave available

Fulltime

New

Director, Key Accounts

As our Director of Key Accounts, you are responsible for leading a dynamic and m...

Location

Canada

Salary:

120000.00 - 160000.00 CAD / Year

Pure Sunfarms

Expiration Date

Until further notice

Requirements

University Degree in Business, Marketing, or related field
7-10+ years of successful key account sales leadership within consumer-packaged goods (CPG) or related industry
Demonstrative experience in growing strategic partnerships, influence and revenue with crown corporations (provincial wholesalers) and cross provincial multi-unit operators
Highly disciplined approach, organized, detail oriented with a strong understanding of sales metrics and business acumen
A strong motivator and leader and ability to create a team that lives the company’s values
Ability to accelerate goals forward quickly and with intention
Relationship builder able to cultivate and maintain impactful connections with senior leadership across provincial wholesalers and key accounts
Ability to respond to evolving demands and react to a constantly changing marketplace
Demonstrated experience and understanding of the processes involved in complex account management with multiple stakeholders at each touchpoint
Demonstrated problem solving and negotiation skills, proficient financial and analytical skills with experience in reporting practices, procedures and processes

Job Responsibility

Understand each individual customer’s need set and strategic agenda
Develop an intimate understanding of the customer’s position within the marketplace and leverage this to expand the growth of Pure Sunfarms portfolio across the customer’s network
Enhance customer engagement toward annualized joint business planning by establishing a formal cadence of touchpoints and business reviews with key customers
Constantly assess and challenge key account performance so that return on investment is maximized
Drive distribution uptake and adoption of Pure Sunfarms core portfolio of products and big bet innovation pipeline by positioning the organization as a preferred partner at both the provincial wholesaler and individual account level
Possess a deep understanding of the company’s product assortment and brand portfolio in order to maximize promotional opportunities across provincial wholesaler and account level networks
Drive strategic cross functional engagement with internal and external stakeholders in Operations (forecasting, demand, production), Brand and Trade to better position Pure Sunfarms in the market
Passionately support the key account business across the organization to highlight the significance of this business unit to the organization’s overall results
Collaborate with the Strategic Planning & Insights function to constantly improve the presentation of performance data and to enhance insight derivation
Possess a deep level of knowledge on industry trends to provide expert level feedback on product development and assortment strategy

What we offer

company-paid comprehensive benefits and education assistance to support your growth

Fulltime

New

Banquet Server

Our jobs aren’t just about serving guests during a banquet or event. Instead, we...

Location

United States , Nashville

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

High school diploma or G.E.D. equivalent
Less than 1-year related work experience
No supervisory experience
No license or certification required
Ability to create a safe workplace
Ability to follow company policies and procedures
Ability to uphold quality standards
Professional uniform, personal appearance, and communications
Ability to be on feet and moving around (stand, sit, or walk for an extended time)
Ability to take a hands-on approach to work (move, lift, carry, push, pull, and place objects weighing less than or equal to 50 pounds without assistance)

Job Responsibility

Build a memorable and unique experience for guests
Skilled in a wide range of event functions
Ensure the event is well-executed from start to finish
Setting up or breaking down materials
Transporting supplies
Taking orders
Interacting with guests
Making transactions feel like part of the experience

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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Job Description:

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Job Posted:February 20, 2026

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