Current jobs related to Job Posting Title Clm Resltion Rep III, Hosp/Prv - Rochester - University of Rochester

  • Clm Resltion Rep IV, Hosp/Prv

    4 hours ago

    Rochester, United States University of Rochester Full time

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all...

  • Clm Resltion Rep IV, Hosp/Prv

    4 weeks ago

    Rochester, United States University of Rochester Full time

    Job TitleAs a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place...

  • Clm Resltion Rep IV

    9 hours ago

    Rochester, New York, United States Greater Rochester Chamber of Commerce Full time

    As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all...

  • Paramedic - Community Hosp

    5 days ago

    Rochester, United States Parkview Health Full time

    Paramedic - Community Hosp Change a Life Today. Yours. Choose Parkview. Offering Sign on Bonus! Learn more about Parkview EMS here Summary The Paramedic has the responsibility and accountability for assuring the delivery of quality pre-hospital care to patients of all ages using proper techniques and following the standards of care as established by Indiana...

  • Title Examiner

    2 weeks ago

    Rochester, NY, United States 716 Title Solutions Full time

    Job Description Job Description Title Examiner - Job description Company Description 716 Title Solutions is a licensed and insured title and escrow agency based in Buffalo, New York, offering innovative, technology-driven services to investors, builders, brokers, and lenders across Western New York and beyond. Our mission is to simplify and secure real...

  • RN Senior Level III

    4 days ago

    Rochester, United States Highland Hospital Full time

    17270BR Title: RN Senior Level III Department/Cost Center: 739 - Labor & Delivery Job Description: Provides professional nursing services for patients and their families and/or for the nursing department. Collaborates with other health care providers and health care team members to achieve expected patient outcomes and improve the care environment. Nurses...

  • RN-ASPN III SE7

    1 week ago

    Rochester, United States Highland Hospital Full time

    17335BR Title: RN-ASPN III SE7 Department/Cost Center: 640 - Southeast 7 Job Description: Southeast 7 - Surgical unit specializing in neurosurgery, vascular patients, and orthopedics. With all private rooms, our new surgical tower offers great opportunities! Provides professional nursing services for patients and their families and/or for the nursing...

  • RN-ASPN III SE7

    2 weeks ago

    Rochester, NY, United States Highland Hospital Full time

    17335BR Title: RN-ASPN III SE7 Department/Cost Center: 640 - Southeast 7 Job Description: Southeast 7 - Surgical unit specializing in neurosurgery, vascular patients, and orthopedics. With all private rooms, our new surgical tower offers great opportunities! Provides professional nursing services for patients and their families and/or for the nursing...

  • RN-ASPN III SE7

    14 hours ago

    Rochester, NY, United States Highland Hospital Full time

    17335BR Title: RN-ASPN III SE7 Department/Cost Center: 640 - Southeast 7 Job Description: Southeast 7 - Surgical unit specializing in neurosurgery, vascular patients, and orthopedics. With all private rooms, our new surgical tower offers great opportunities! Provides professional nursing services for patients and their families and/or for the nursing...

  • Pharmacy Access Rep III Community Pharmacy

    2 weeks ago

    Rochester, United States The University of Rochester Full time

    The Pharmacy Access Representative III (PAR) is responsible for the overall management of medication coordination and removal of barriers that prevent patients from receiving their medications. Duties will include communication with the prescribers Pharmacy, Pharmacy Technician, Staff, Medication, Authorization, Healthcare, Pharmacist

Job Posting Title Clm Resltion Rep III, Hosp/Prv

1 month ago

Rochester, United States University of Rochester Full time

Job TitleAs a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.Job Location: 905 Elmgrove Rd, Rochester, New York, United States of America, 14624Opening: RegularTime Type: Full timeScheduled Weekly Hours: 40Department: 500011 Patient Financial ServicesWork Shift: UR - Day (United States of America)Range: UR URC 205 HCompensation Range: $19.62 - $26.49ResponsibilitiesGeneral Purpose: 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.Essential FunctionsCompletes 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.Researches and calculates under or overpaid claims; determines final resolution.Contacts payers on incorrectly paid claims completing resolution and adjudication.Adjusts accounts or processes insurance refund credits.Reviews and advises leadership on incorrectly paid claims from specific payers.Works with leadership on communication to payer representatives regarding payment trends and issues.Bills primary and secondary claims to insurance.Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention.Assists department leadership with credit balances account reviews/resolutions and all audits.Coordinates response and resolution to Medicaid and Medicare credit balances.Requests insurance adjustments or retractions.Reviews and works all insurance credits in electronic health record.Enters electronic health record notes, documenting actions taken.Researches and responds to third party correspondence, receives phone calls, and explains policies and procedures involving routine and non-routine situations.Assists with patient related questions.Communicates and coordinates with other departments to resolve claim issues.Assists with all audits as needed.Minimum Education & Experience: Associate's degree and 2 years of relevant experience required or equivalent combination of education and experience.The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.