- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... payment and completes and documents follow up by resubmitting claim or deferring tasks. + Researches and calculates under...deferring tasks. + Researches and calculates under or overpaid claims ; determines final resolution . + Contacts payers… 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 (Albany, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible ... routine action to resolve unpaid claims . The Claims Resolution Representative III... claims submission and follow-up for review and resolution . 5% Collaborates with Claim Edit Specialists… more
- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. Follows up on unpaid accounts working claims . Reviews reasons for claim denial. Reviews payer website or contacts payer ... claim or deferring tasks. Researches and calculates under or overpaid claims ; determines final resolution . Contacts payers on incorrectly paid claims… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center, Call Center, the Customer Solution Center Service Representative III handles provider inquiries and issue resolution of Level One (1) ... Customer Solution Center Service Representative III Job Category: Customer Service...steps. Escalate Level Two (2) provider concerns to the Claims Department for resolution (eg Provider Disputes,… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** Fairview is looking for a Patient Financial Services Representative III to join our team! This is a fully remote position approved for a **1.0 ... clearly with patients, payers, and vendors to ensure timely and accurate claim resolution . Additional responsibilities include managing bad debt, completing… more
- State of Colorado (Lakewood, CO)
- Criminal Investigator III - Lottery Divsion Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5150451) Apply Criminal Investigator III - ... operations of the warehouse. Primary Job Duties: The Criminal Investigator III Investigates actual or possible criminal law violations (Titles 18, 24… more
- Horizon Services, Inc. (Hayward, CA)
- POSITION DESCRIPTION TITLE: Human Resources III CLASSIFICATION: TBD REPORTS TO: Sr. HR. Manager of Human Resources PROGRAM OR DEPT: Administration JOB SUMMARY: As a ... work environment to our dedicated team. The Human Resources III is an integral part of the Human Resources...employees with health, dental, life and other related benefit claims . + Coordinate workers' compensation claims with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments ... business needs while taking ownership and accountability for issue identification and resolution . Level II (in addition to Level I Accountabilities) * Assists with… more
- State of Colorado (CO)
- Indirect Costs and Federal Reporting Manager / Controller III - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5146499) Apply Indirect ... Costs and Federal Reporting Manager / Controller III - Hybrid Salary $111,000.00 - $135,000.00 Annually Location...statewide cost accounting processes, plans and reports. Responds to claims and disallowances made by the federal government to… more
- State of Colorado (Denver, CO)
- Antimicrobial Stewardship Epidemiologist - HP III - HAI/AR Program Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5145306) Apply ... Antimicrobial Stewardship Epidemiologist - HP III - HAI/AR Program Salary $64,728.00 - $74,437.20 Annually...from other data sources (eg, prevalence surveys, Medicare, or claims data). + Measure the impact of antimicrobial stewardship… more
- Sarasota County Government (Sarasota, FL)
- …and material submittals, and permit requirements. + Make recommendations for the resolution of project-related issues. + Review and tabulate quantities for the ... monthly cut-off meeting. + Provide utility coordination. + Provide claim negotiation. + Provide contract status reports for internal...pm About You To thrive in the Project Manager III role, you must have: + Bachelor's degree in… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …and close-out. This includes the negotiation of change orders, payment approval, resolution of claims , solving performance and warranty issues, enforcement of ... Job Title: CONTRACT ADMINISTRATOR I/II/ III (LEVEL DOE) Posting Start Date: 10/22/25 Job...your contact information, and a Basin Electric Human Resources representative will contact you. Basin Electric is an Equal… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …departments including sales, medical, operations and network management. As a key representative of the corporation, this position is expected to maintain strong ... order to facilitate workflows and coordinate appropriate resources for problem resolution for providers. Identifies and communicates trends that impact provider… more
- The County of Los Angeles (Los Angeles, CA)
- …program through the review of reports, coordination of work, and the resolution of problems. + Interprets, clarifies, and resolves problems of field staff ... technical area of environmental health by serving as a health agency representative to various local, State, and Federal technical committees or boards and… more
- Medtronic (Charlotte, NC)
- …aspects of new product introductions, field technical trainings as well as providing Level III technical support to the field. **Day in the Life** + Lead and drive ... use of the escalation process, when other avenues for resolution are exhausted. This activity may include travel to...repair, validation, and data gathering + Validation of warranty claim submissions and assist in the review of field… more
- State of Colorado (CO)
- …the technical aspects of Decision Support Systems portfolio modules including claims , eligibility and enrollment data, financial payment data, provider enrollment ... submitting your application. Class Code & Classification Description: H1C3XXANALYST III (https://drive.google.com/file/d/0B4enHpLSVk4eemlDYjc4Vm9tT00/view?usp=sharing&resourcekey=0-sfhr9APhTwTTyRT-N0Eztg) MINIMUM QUALIFICATIONS: There are two ways to… more
- WM (Houston, TX)
- …US and Canada. + Manages the company's response to all unemployment claims and verifications. Maintains the working relationship with the company's outside service ... state tax laws, including annual filings and specific item investigation and resolution . + Collaborate with other functional payroll managers to ensure the reliable… more
- City of New York (New York, NY)
- …of repair jobs to vendors. Identifies problems in construction and seeks their resolution . Prepares shop orders, the scope of work, routine specifications, and cost ... compiles contract and project documentation bearing on these dispute claims . - Acts as liaison with the community and...activity on the construction site, acts as the City's representative in the filing of complaints with the Police… more