- 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
- Sedgwick (Buffalo, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative | NY Jurisdiction | Dedicated Client We are ... RESPONSIBILITIES** + **Independently** handle a capped caseload of workers' compensation claims , from inception to resolution , ensuring adherence to company… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Financial Representative - Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... a timely manner, to immediate supervisor for handling or resolution + Utilizes trial balance and other reports to...and resolve outstanding accounts and bring to a final resolution + Compiles and prepares reports as required by… 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
- 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service...schedules, network participation, and requirements. + Ensure first contact resolution when possible. + Update customer files and communicate… more
- Travelers Insurance Company (Melville, NY)
- …Party Medical claims from the first notice of loss through resolution /settlement and payment process. This may include applying laws and statutes for multiple ... cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution ) including maintaining full compliance with internal and external… more
- Independent Health (Buffalo, NY)
- …questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first call resolution and navigate various ... paid time off (PTO), including company paid holidays. The Provider Relations Representative position offers an opportunity to begin a career at Independent Health.… 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
- 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
- MVP Health Care (Plattsburgh, NY)
- …and Member Appeals to resolve provider issues efficiently and effectively. + Upon resolution of the above, Internal PR Representative will communicate findings ... Professional, Provider Relations Representative Plattsburgh, NY, USA * Vermont, USA Req...triaged provider issues including (but not limited to): + Claims Inquiries + Payment Inquiries + Recovery Inquiries +… more
- Travelers Insurance Company (Melville, NY)
- … claims from the first notice of suit/arbitration to resolution /settlement and payment process. Provides quality claim handling throughout the ... cycle (attorney/provider contacts, coverage, investigation, evaluation, reserving, negotiation and resolution ) including maintaining full compliance with internal and external… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds as needed according… more
- World Insurance Associates, LLC. (Syosset, NY)
- …and human capital management solutions. Position Overview Our Client Service Representative provides general account support and customer service to an impressive ... inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs...as well as carrier relationships for day-to-day customer issue resolution + Keep management informed of customer or carrier… more
- Northwell Health (Garden City, NY)
- …Summary: Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and ... completeness of information on claims forms, applications and related documents, and company records....and or third-party payers to secure payments and provide resolution of assigned accounts. + Appealing incorrect denials and… 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 ... from the payer. - - - Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule, APC or APG… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... tracking of safety reports. + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers' Compensation claims are… more
- City of New York (New York, NY)
- …labor-management meetings, grievance and arbitration issues, training, dispute resolution matters, interpretative guidance on multiple collective bargaining ... and other relevant parties to assess the validity of claims or concerns, including collaborating with other divisions or...for grievances at the Step II level. - Agency representative at Step III hearings at the Office of… more