- University of Rochester (Rochester, NY)
- …and regulations to ensure that the process conforms to federal and state regulations. The Claim Resolution Rep III will represent the department and ... at all times. **Supervision and Direction Exercised** **:** The Claim Resolution Rep III...status on appropriate payer system or contact an insurance representative to obtain information as to why claims… more
- University of Rochester (Rochester, NY)
- …insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- University of Rochester (Rochester, NY)
- …Researches claims , identifies problems and takes appropriate action to assure claim resolution . **10%** Mails paper claims with appropriate attachments ... determining the best collection technique, resulting in payment or resolution of the outstanding claim . This role...ePaces. Ensures additional documentation and/or information is provided for claims processed thru iHCFA, Claim Logic, CBAS,… more
- University of Rochester (Rochester, NY)
- …accounts from the beginning of the billing period through the accurate resolution of the account. Collection activities will focus on self pay accounts. ... process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital...include but are not limited to: + Unbilled Cash Claims + Self Pay plans not final billed +… more
- University of Rochester (Rochester, NY)
- …providers and various depts to resolve issues and process unresolved claims for reimbursement. **RESPONSIBILITIES:** + Resolves unpaid insurance accounts, including ... a timely period and that are impeding the prompt resolution /collection of AIR. Contacts are via correspondence, telephone, websites...which affect NR, so as to rebill and appeal claims accurately and timely. Responds to written and verbal… more
- University of Rochester (Rochester, NY)
- …systems, telephone, photocopy machine, 10-key adding machine, internet, payer proprietary claims inquiry and entry software. **TYPICAL DUTIES:** + Resolves unpaid ... been paid/rejected within a predetermined period and are impeding the prompt resolution of A/R. Contacts are via correspondence, telephone or meeting with insurance… more