Top 1153 Administration rep Jobs

Clm Resltion Rep III, Hosp/Prv
University of Rochester —Albany, NY
- $20.30 - $27.41 an hour
- Full-time
- Remote
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- Mid-level
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Patient Service Representative I - OR Administration
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Registration&Insur Mgt Rep III
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11d
Clm Resltion Rep II, Hosp/Prv
University of Rochester —Albany, NY
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11700B - Clerk, Administration
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Customer Service Representative 311 (Call Center Rep) 31
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11650A - Clerk, Administration
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Sec Incident Response Rep IV
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Customer Service Rep/Administrative
5TH HQ LLC —Plantation, FL
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Customer Service Rep / Call Center / Client Support
ADP —La Palma, CA
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Clerical / Customer Service Rep-Ridgecrest
California Traffic Safety Institute —Ridgecrest, CA
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4d
Customer Care Rep. I
Kastle Systems —Falls Church, VA
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95600A - Clerk, Administration
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- Full-time
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13d
Finance Rep I
Los Angeles Times —El Segundo, CA
- $22 - $24 an hour
- Full-time
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Patient Access Rep III - Patient Access Contact Center - SOCC Cancer Center - Full-Time, On-Site, Days
Cedars-Sinai —Los Angeles, CA
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- Bachelor's degree
Price Estimation Rep III
University of Rochester —Albany, NY
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- Full-time
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4d
Patient Access Rep II - Patient Access Contact Center - Specialty Clinics - Full-Time, On-Site, Days
Cedars-Sinai —Los Angeles, CA
- $24 - $37 an hour
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Clm Resltion Rep III, Hosp/Prv

University of Rochester -
Albany, NY

Apply Now

Job Details

Full-time
$20.30 - $27.41 an hour

Qualifications

Appeals
Patient question and concern management
Medicare
Phone reception
Electronic health records (EHR) management
Accounts receivable management
Phone communication
Research
Mid-level
Refund processing
Financial issue resolution
Medical records
Billing follow-up on outstanding patient balances
Medical billing and coding communication with insurance companies
Healthcare billing investigations
Medical insurance appeals management
Medicaid
Medical billing account reconciliation
Insurance provider collaboration
Associate's degree
Insurance claims appeal handling
2 years
Medical claim status updates
Audit support

Full Job Description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

Department:

910402 United Business Office

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 205 H

Compensation Range:

$20.30 - $27.41

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

GENERAL PURPOSE:
Performs follow-up activities designed to bring all open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. Resolves complex claims. Acts as a resource for lower level staff.

ESSENTIAL FUNCTIONS

Completes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid accounts working claims. Reviews reasons for claim denial. Reviews payer website or contacts payer representatives to determine why claims are not paid. Determines steps necessary to secure payment and completes and documents follow up by resubmitting claim or deferring tasks. Researches and calculates under or overpaid claims; determines final resolution. Contacts payers on incorrectly paid claims completing resolution and adjudication. Adjusts accounts or processes insurance refund credits. Reviews and advises leadership on incorrectly paid claims from specific payers. Works with leadership on communication to payer representatives regarding payment trends and issues.
Bills primary and secondary claims to insurance.
Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. Assists department leadership with credit balances account reviews/resolutions and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions. Reviews and works all insurance credits in electronic health record. Enters electronic health record notes, documenting actions taken.
Researches and responds to third party correspondence, receives phone calls, and explains policies and procedures involving routine and non-routine situations. Assists with patient related questions. Communicates and coordinates with other departments to resolve claim issues. Assists with all audits as needed.

Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

Associate's degree and 2 years of relevant experience required
Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Apply Now

Refine Your Search

administration rep jobs

Clm Resltion Rep III, Hosp/Prv

Patient Service Representative I - OR Administration

Registration&Insur Mgt Rep III

99650A - Clerk, Administration

Clm Resltion Rep II, Hosp/Prv

11700B - Clerk, Administration

Accounts Receivable Rep

Customer Service Representative 311 (Call Center Rep) 31

11650A - Clerk, Administration

Sec Incident Response Rep IV

Service Rep - Imaging - Maywood - Part-Time - Evenings

Customer Service Rep/Administrative

Customer Service Rep / Call Center / Client Support

Clerical / Customer Service Rep-Ridgecrest

Customer Care Rep. I

95600A - Clerk, Administration

Finance Rep I

Patient Access Rep III - Patient Access Contact Center - SOCC Cancer Center - Full-Time, On-Site, Days

Price Estimation Rep III

Patient Access Rep II - Patient Access Contact Center - Specialty Clinics - Full-Time, On-Site, Days

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