Top 14 Area leader Jobs in Rochester, Ny

Collections Representative IV
University of Rochester —Rochester, NY
- $21.40 - $28.89 an hour
- Full-time
- Research
- Office
- 3 years
Claim Resolution Rep IV
University of Rochester —Rochester, NY
- $21.40 - $28.89 an hour
- Full-time
- Hybrid work
- Research
- 3 years
- Mentoring
5d
Patient Transfer Coord IV
University of Rochester —Rochester, NY
- $21.97 - $29.66 an hour
- Full-time
- Hospital
- Mid-level
- 3 years
Clm Resltion Rep IV, Hosp/Prv
University of Rochester —Rochester, NY
- $21.40 - $28.89 an hour
- Full-time
- Hybrid work
- Research
- Office
- 3 years
Assistant General Manager
CAVA - Victor Crossing —Victor, NY
- $23.50 an hour
- Overtime
- Sales
- Fast casual restaurant
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
14d
Manager, Finance Business Partners- International Tax
Deloitte —Rochester, NY
- $93,000 - $155,000 a year
- Full-time
- 5 years
- Research
- Office
1d
Part-Time Doorstep Trash Collection Specialist - Nights
Valet Living LLC —Henrietta, NY
- $18 - $21 an hour
- Part-time
- 18 years or older
- Ability to climb stairs
- Ability to lift 50 pounds
- Referral program
Quick Apply

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Claim Resolution Rep IV
University of Rochester —Rochester, NY
Recommends filing of a formal complaint with the State’s regulation commission or agency. Determines when to change the account to a self-pay financial class…
$21.40 - $28.89 an hour
5d
Clm Resltion Rep IV, Hosp/Prv
University of Rochester —Rochester, NY
Recommends filing of a formal complaint with the State’s regulation commission or agency. Determines when to change the account to a self-pay financial class…
$21.40 - $28.89 an hour

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Part-Time Doorstep Trash Collection Specialist - Nights - Pickup Truck Required
Valet Living LLC —Dublin, OH
Valid driver’s license and reliable transportation. Your own open-bed pickup truck, or. We recruit, employ, train, compensate, and promote without regard to…
$20 an hour
Quick Apply
Part-Time Doorstep Trash Collection Specialist - Nights - Pickup Truck Required
Valet Living LLC —Marysville, OH
Valid driver’s license and reliable transportation. Your own open-bed pickup truck, or. No long-distance driving, bulk item collection, or off-site dumping.
$20 an hour
Quick Apply

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Collections Representative IV

University of Rochester -
Rochester, NY

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Job Details

Full-time
$21.40 - $28.89 an hour

Qualifications

Health insurance authorizations
Healthcare dispute resolution
Appeals
Accounts receivable optimization
Patient question and concern management
Accounts receivable management
Adjusting patient balances
EHR systems
Account analysis
Insurance dispute resolution
Performance feedback (performance evaluation method)
Research
Refund processing
3 years
Financial issue resolution
Billing follow-up on outstanding patient balances
Staff training
Medical billing and coding communication with insurance companies
Mentoring
Medical insurance appeals management
Senior level
Associate's degree
Insurance claims appeal handling
Medical claim status updates
Collections account management
Documentation reviews
Patient collections management

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):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

Department:

920755 UDFG Dental Faculty

Work Shift:

UR - Day (United States of America)

Range:

UR URC 206 H

Compensation Range:

$21.40 - $28.89

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:

Performs follow-up activities designed to bring all open account receivables to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. Mentors and trains new or lower level staff.

ESSENTIAL FUNCTIONS

Independently determines the most effective method to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring about prompt account resolution and revenue collection from complex claims, high dollar claims, and specialized services. Identifies and resolves problems related to primary and secondary accounts which are disputed, unpaid, underpaid or overpaid.
Determines cause of problem and initiatives corrective action through reviews of electronic medical records.
Works to confer with external agencies.
Analyzes accounts and determines if correct proration of revenue has been collected, using detailed understanding and application of all payer contracts.
Contacts applicable agency, payer or department for resolution.
Decides when resubmitting efforts are complete, including writing an appeal using applicable content and supporting documentation to appropriately influence the highest level of revenue.
Acts as a resource for questions from assigned collection and billing staff on payer policies, procedures and methods of revenue collection.
Trains new staff on the use of the billing application, payer systems, and clearinghouse systems.
Demonstrates how to apply the knowledge of payer contracts and resources to resolve disputed, unpaid, underpaid, or overpaid accounts.
Provides feedback to leadership on results of training of new and existing staff.
Provides input for performance assessments based on observation, questions, and quality reviews of work performed.
Acts as area leader, when needed, including responding to payers, patients, and issues referred to the area from hospital departments or department representatives.
Researches and responds to clinical department inquiries on complex, high dollar, and specialized accounts and status of collection activities affecting departmental revenue.
Assesses if/when patients are contacted.
Resolves complex, high dollar, and specialized claim resolution issues due to coordination of benefits, eligibility issues, and authorizations.
Resolves accounts identified in third party audits involving retroactive approvals, resulting in adjustments, refunds, and subsequent secondary billing.
Researches, verifies, and/or obtains authorizations post-claim submittal.
Determines allocation of reimbursement applicable to multiple providers for global transplant payments and initiates transfer of money to each payer.
Identifies need for in-person meetings and phone conferences with third party insurance representatives due to claim and system issues requiring prompt attention for complex high dollar accounts.
Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone conferences regarding complex high dollar claims.
Identifies and clarifies issues that require management and intervention to avoid loss of revenue.
Recommends filing of a formal complaint with the State’s regulation commission or agency.
Determines when to change the account to a self-pay financial class after a review of previous efforts has not resulted in revenue collection and further attempts would not be successful without patient intervention.
Research and initiates suggestions to leadership to streamline processes and training materials.
Performs coverage for other positions as needed.
Performs administrative office tasks and maintains records.

MINIMUM EDUCATION & EXPERIENCE

Associate's degree and 3 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.

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Refine Your Search

area leader jobs in rochester, ny

Collections Representative IV

Claim Resolution Rep IV

Patient Transfer Coord IV

Clm Resltion Rep IV, Hosp/Prv

Assistant General Manager

Manager, Finance Business Partners- International Tax

Part-Time Doorstep Trash Collection Specialist - Nights

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