- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... + The initial 120 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is… more
- University of Rochester (Albany, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative III reports...(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims ,… more
- University of Rochester (Albany, NY)
- …denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance ... or deferring tasks. Researches and calculates under or overpaid claims ; determines final resolution . Contacts payers on...namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking… more
- Intermountain Health (Albany, NY)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… 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
- Cardinal Health (Albany, NY)
- …needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... based upon region and ensure proper communication of the resolution within required time frame agreed upon by the...region with the appropriate team + As needed conduct research associated with issues regarding the payer, physician's office,… more