- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- University of Rochester (Albany, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for ... timely and routine action to resolve unpaid claims . The Claims Resolution Representative III reports to Accounts Receivable Management. **ESSENTIAL… more
- Sedgwick (New York, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...and to move the file towards prompt and appropriate resolution . + Identifies and pursues subrogation opportunities; secures and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …experience possible + Warm transfer calls to other business units for further resolution of the callers issue while adhering to CPHLs policies. + Complete the ... in the areas of: efficiency, call quality, provider satisfaction, first call resolution and attendance + Continuously evaluate and identify opportunities to drive… more
- CRST (Amherst, NY)
- …quality and review documentation + Communicate with CRST staff about the status of claims and reaching their resolution + Attend regular scheduled meetings with ... analysis, and processing of-and reporting on-insurance and self-insurance programs and claims . Risk management personnel manage the company's risk by analyzing and… more
- Travelers Insurance Company (Melville, NY)
- …and claimants or their representatives. + Recognizes and implements alternate means of resolution . + May manage litigated claims . Develops litigation plan with ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer… more
- Saratoga Hospital (Saratoga Springs, NY)
- …insurance questions and accept payment for services billed. Primary Job Duties: + Claims Processing and Issues Resolution : Retrieve and transmit electronic ... Job Summary: The Patient Financial Services Representative (PFS) is responsible for billing primary, as...billing primary, as well as subsequent secondary and tertiary claims , to all third party insurance carriers listed on… more
- New York State Civil Service (Queens Village, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative - Creedmoor PC Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 11427 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- New York State Civil Service (Orangeburg, NY)
- …- Dormitory Authority of the State of New York Title Field Representative - Rockland PC Occupational Category Other Professional Careers Salary Grade NS Bargaining ... Orangeburg State NY Zip Code 10962 Duties Description Primary PurposeThe Field Representative assists the Project Manager or Senior Project Manager in all aspects… more
- Independent Health (Buffalo, NY)
- …and paid time off (PTO), including company paid holidays. The Customer Service Representative position offers an opportunity to begin a career at Independent Health. ... the department and our family of companies. **Overview** The Customer Service Representative (CSR) is responsible for displaying confidence, passion for service, and… more
- Cardinal Health (Albany, NY)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... and manage escalation projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... Owning the issue and ensuring a complete and timely resolution are the most important success factors for this...such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively… more
- Adecco US, Inc. (Melville, NY)
- …**Responsibilities:** . Collection of accounts receivable and past dues, and coordinates resolution of customer chargeback claims , disputes, and billing issues. ... further your existing skills as a Credit and Collections representative , while learning new ones to assist you in...application. For instant consideration for this Credit and Collections representative with Adecco in _Melville, NY_ , apply today!… more
- Latham, The Pool Company (Latham, NY)
- …difference? A little about the position: Job Summary The Warranty Claim Representative is responsible for the triage and administration for all claim/repair ... service to resolve customer inquiries. + Ensure data integrity of all claims information by validating submitted information against ERP systems to supplement… more
- Molina Healthcare (New York, NY)
- …highest level of customer service. Effectiveness in driving timely issue resolution , EMR connectivity, Provider Portal Adoption. * Resolves complex provider issues ... monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Amalgamated Bank (New York, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. This ... with customers and back office by following-up to ensure resolution + Greet customers in a professional manner that...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
- Molina Healthcare (Yonkers, NY)
- …methods. + Analyzes and assist with complex eligibility issues and provides resolution to internal partners and external clients. and regulators (CMS, Medicaid ... party administrators. + Performs enrollment functions to include call tracking, claims workflow, and encounter requests for verification and updates, PCP assignment… more
- Intermountain Health (Albany, NY)
- …in accordance to procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any other additional items ... service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations +… more
- University of Rochester (Rochester, NY)
- …unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are not paid and ... from the payer. - - - Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule, APC or APG… more
- University of Rochester (Rochester, NY)
- …unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are not paid and ... date from the payer. + Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule, APC or APG… more