Insurance Claims Specialist

1 month ago


Rochester, New York, United States RadNet Full time
Job Overview

As a key member of our team, you will play a vital role in ensuring seamless patient care by verifying insurance coverage and processing claims efficiently.

Responsibilities:

  • Obtain and verify patient insurance information to ensure accurate coverage and payment
  • Collaborate with insurance providers and referring physicians' staff to obtain necessary patient history and notes
  • Analyze payor eligibility responses to identify required information for verification
  • Obtain and confirm insurance pre-authorizations and communicate with insurance providers via phone or email
  • Enter accurate and timely data into our RIS system, adhering to established standards

Requirements:

  • High School Diploma or equivalent
  • Intermediate to advanced computer skills
  • Strong multitasking and communication skills
  • Attention to detail and organizational skills
  • Medical terminology knowledge is a plus


  • Rochester, New York, United States Allied Universal® Compliance and Investigations Full time

    Job SummaryWe are seeking a highly skilled and experienced Insurance Claim Investigator to join our team at Allied Universal Compliance and Investigations. As a Special Investigations Unit (SIU) Specialist, you will be responsible for investigating complex insurance claims with red flags that suggest fraudulent behavior. You will use your extensive knowledge...


  • Rochester, New York, United States Travelers Insurance Full time

    At Travelers Insurance, we're committed to delivering exceptional Risk Control services to our clients. As a Risk Control Specialist, you'll play a critical role in identifying hazards, evaluating existing controls, and coordinating the delivery of Risk Control services that will help our clients reduce or prevent losses.Key Responsibilities:Consult with...


  • Rochester, New York, United States Monroe County, NY Full time

    Job Summary:This position is located at Monroe Community Hospital and is responsible for the timely submission of medical claims to insurance companies, including Medicare and Medicaid.Key Responsibilities:Tracking outstanding balances owed and maintaining payment records of patients/residents and patients.Making payment arrangements and collecting on past...


  • Rochester, New York, United States InfuSystem Full time

    Job Summary:InfuSystem is seeking a skilled Insurance Verification Specialist to join our team. As a key member of our infusion services team, you will be responsible for verifying patient eligibility and benefits, interpreting insurance terminology, and requesting authorizations from payers.Key Responsibilities:Verify patient eligibility and benefits, and...


  • Rochester, New Hampshire, United States Bernier Insurance Full time

    Job Title: Senior Account ManagerAt Bernier Insurance, we're seeking a dynamic and professional Licensed Senior Account Manager to join our Personal Lines Team. As a trusted advisor, you'll provide exceptional service to our clients, identify opportunities for business growth, and support a positive work culture.Key Responsibilities:* Demonstrate active...


  • Rochester, New York, United States Ryan Sanz - State Farm Agent Full time

    Job Summary: As a Customer Relationships Specialist with Ryan Sanz - State Farm Agent in Rochester, NY, you will be responsible for building and developing customer relationships within the community to promote State Farm products including auto, home, and life insurance.About Us: Ryan Sanz - State Farm Agent is a leading insurance agency committed to...

  • Insurance Underwriter

    4 weeks ago


    Rochester, New York, United States Diedre Moire Full time

    Job SummaryAs an Underwriting Manager - Environmental Insurance at Diedre Moire Corporation, you will be responsible for supervising a group of environmental underwriters to ensure that underwriting practices and guidelines are followed. This includes pricing, risk selection, and quality control.Key ResponsibilitiesBuild strong relationships with wholesale...


  • Rochester, New York, United States Ryan Sanz - State Farm Agent Full time

    Job OverviewRyan Sanz - State Farm Agent is seeking a highly motivated and customer-focused professional to join their team as an Insurance Sales Representative. As a key member of the team, you will be responsible for building and developing customer relationships within the community to promote State Farm products, including auto, home, and life...


  • Rochester, New York, United States Van C. Travis III - State Farm Agency Full time

    Job DescriptionVan C. Travis III - State Farm Agency in Rochester, NY is seeking a full-time Sales Representative to join our team. No prior insurance experience is required, as we provide comprehensive training.This is an excellent opportunity for a motivated and self-driven individual who thrives in a fast-paced environment. As a Sales Representative, you...


  • Rochester, New York, United States InfuSystem Full time

    Job Summary:The Insurance Verification Specialist will be responsible for verifying patient eligibility and benefits for infusion services. This role requires strong analytical and problem-solving skills to interpret benefit information and identify the correct plan.Key Responsibilities:Verify patient eligibility and benefits for infusion servicesInterpret...

  • Housing Specialist

    4 weeks ago


    Rochester, New York, United States Rochester Housing Authority Full time

    Housing Specialist Job SummaryThe Rochester Housing Authority is seeking a skilled Housing Specialist to join our team. As a Housing Specialist, you will be responsible for assisting with the activities of a small housing office, assigning tasks to clerical workers and monitoring workflow. You will also interview prospective participants to complete housing...


  • Rochester, New York, United States Next Insurance Full time

    Job OverviewAt Next Insurance, we're on a mission to revolutionize the insurance industry by providing fast, customized, and affordable coverage to small businesses across the United States.We're seeking a highly motivated and driven Customer Service Specialist to join our team and help us achieve our goal of delivering exceptional customer experiences.As a...


  • Rochester, New York, United States Next Insurance Full time

    Customer Service Specialist RoleAt Next Insurance, we're on a mission to help entrepreneurs thrive. We're building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience. As a Customer Service Specialist, you'll ensure our customers receive a timely...


  • Rochester, New York, United States Gpac Full time

    Job Title: Contracts & Surety Bonds Construction AttorneyJob Summary: We are seeking a skilled Construction Attorney with expertise in contracts and surety bonds to support our clients in alignment with our firm's core values.Position Responsibilities:Analysis and management of surety risks, including negotiation of financing agreements and related...


  • Rochester, New York, United States Gpac Full time

    Job Title: Contracts & Surety Bonds Construction AttorneyWe are seeking a skilled Construction Attorney with expertise in contracts and surety bonds to support our clients in alignment with our firm's core values.Key Responsibilities:Analyze and manage surety risks, including negotiation of surety agreements and financing of principal and related...


  • Rochester, New York, United States Gpac Full time

    Job Title: Contracts & Surety Bonds Construction AttorneyJob Summary: We are seeking a diligent Construction Attorney with 3-5 years of construction law experience to support clients in alignment with our firm's core values.Position Responsibilities:Analysis and management of surety risks, including surety agreement negotiation and financing of the principal...


  • Rochester, New York, United States Happiness House CP Rochester Full time

    About the RoleHappiness House CP Rochester is seeking a skilled Medical Billing Assistant to support the Finance and Clinic Departments. As a key member of our team, you will be responsible for charge entry, billing, payment posting, and claim denial research and correction for Clinic Services.ResponsibilitiesMaintain confidentiality of information relating...


  • Rochester, New York, United States Med-Scribe Full time

    About Med-ScribeWe are a local, woman-owned business committed to our candidates, employees, and community for over 30 years.Our team of experts helps connect job seekers to healthcare opportunities.We are seeking an experienced medical biller to join our team.Key Responsibilities:Process and manage healthcare claimsEnsure accurate and timely...

  • Nurse Specialist

    1 month ago


    Rochester, New York, United States CNY Fertility Center Full time

    Job Title: Nurse SpecialistJob Summary:CNY Fertility Center is seeking a skilled Nurse Specialist to join our team. The ideal candidate will have a strong background in nursing and experience in fertility care.Responsibilities:Perform phlebotomy and collect and label specimens as outlined in lab orders/requisitions.Transport specimens to the lab promptly for...


  • Rochester, New York, United States United States Postal Service Full time

    The United States Postal Service is seeking a Mail Processing Specialist to join their team. As a Mail Processing Specialist, you will play a critical role in the processing and delivery of mail and packages. Your responsibilities will include sorting and handling mail, preparing mail for shipment, and ensuring that all mail is delivered to the correct...