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78 Jobs in Rochester, NY

  • Financial Coordinator III

    University of Rochester - Rochester, New York
    ... POSITION SUMMARY: The Financial Counselor assesses all aspects of patient financial account ... necessary to financially secure the resident’s account through the verification process; resolving complex ...
  • Claim Resolution Rep III, Hosp

    University of Rochester - Rochester, New York
    ... intervention; share with Supervisor and or Manager. Assist Supervisor with Medicare and Medicaid credit ... accurate resolution of the account. Revenue collection activities focus on an assigned payer billed at the ...
  • Claim Resolution Rep III, Hosp

    University of Rochester - Rochester, New York
    ... intervention; share with Supervisor and or Manager. Assist Supervisor with Medicare and Medicaid credit ... accurate resolution of the account. Revenue collection activities focus on an assigned payer billed at the ...
  • Referral & Prior Auth Rep III

    University of Rochester - Rochester, New York
    ... POSITION SUMMARY: The Financial Counselors assess all aspects of patient financial account ... Management; coordination of benefits; baby not on policy; Cobra entitlement; and Medicare Advantage issues ...
  • Compliance Analyst I - Remote Hybrid Opportunity

    University of Rochester - Rochester, New York
    ... Medicare, Medicaid and third-party payor audits, and directs all responses to assure audits are responded ... , including Medicare and Medicaid credit balance quarterly audits, audits obtained from the Office of Medicaid ...
  • Revenue Cycle Coordinator IV

    University of Rochester - Rochester, New York
    ... certain aging threshold through the accurate resolution of the account. This position will also be ... -monitoring performance on assigned tasks, following standard procedures, and as directed by the Manager ...
  • District Manager, Botox Therapeutic - Western NY

    AbbVie - Rochester, New York
    ... District Manager leads the sales performance and professional development of a team of Account Specialists ... treatment facilities, and Veteran’s Affairs Medical Centers. The District Manager cultivates relationships ...
  • OBH Financial Counselor

    University of Rochester - Rochester, New York
    ... POSITION SUMMARY: The Financial Counselors assess all aspects of patient financial account ... ; eligibility discrepancies; Cobra entitlement; and Medicare Advantage issues. This role involves in-depth ...
  • OBH Financial Counselor

    University of Rochester - Rochester, New York
    ... POSITION SUMMARY: The Financial Counselors assess all aspects of patient financial account ... ; eligibility discrepancies; Cobra entitlement; and Medicare Advantage issues. This role involves in-depth ...
  • Registered Nurse Consultant - Rochester, NY

    Vatica Health - Rochester, New York
    ... office personnel such as Practice and Billing Manager, both verbally and written Understanding of health insurance benefit structure; especially Medicare and Medicaid Must be ...
  • Clm Resltion Rep III, Hosp

    University of Rochester - Rochester, New York
    ... and state regulations bringing concerns to the attention of billing Manager and Supervisor. The ... performance on assigned tasks, following standard procedures as directed by the Supervisor or Manager ...
  • Financial Case Manager

    Lifespan - Rochester, New York
    ... Financial Case Manager Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave ... TITLE:Financial Case Manager STATUS:Hourly 37.5 hours weekly, full-time $19.00 to $20.50 ...
  • Outpatient Access Rep II

    University of Rochester - Rochester, New York
    ... order to establish a billable account. Enters information into the electronic medical record and ... . Assures completion of all appropriate forms by patients, such as, Medicare Secondary Payer assurance ...
  • Medicare Part D Formulary Manager (Pharmacist)

    Excellus Health Plan Inc. - Rochester, New York
    ... management this pharmacist clinician is a program manager, who is responsible for all Medicare Part D ... contract years. This individual creates and executes the Medicare Part D formulary, delivering value and ...
  • Senior Claims Representative - Workers' Compensation / Automobile

    Regional Transit Service - Rochester, New York
    ... : Medical, Dental, and Vision (Dental & Vision insurance are currently free), Flexible Spending Account (FSA ... Security and Medicare offsets. Reports claims to the excess carrier, as may be required ...
  • Outpatient Access Rep II

    University of Rochester - Rochester, New York
    ... verify information accuracy in order to establish a billable account. Enters information into the ... confirmation purposes. Assures completion of all appropriate forms by patients, such as, Medicare Secondary ...
  • Outpatient Access Rep II

    University of Rochester - Rochester, New York
    ... establish a billable account. Enters information into the electronic medical record and patient access and ... appropriate forms by patients, such as, Medicare Secondary Payer assurance, provision of HIPAA information for ...
  • Case Manager (RN) I/II/III - FEP

    Excellus Health Plan Inc. - Rochester, New York
    ... & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality ... Medicare programs, and other regulatory requirements as applicable.Carries out job ...
  • Senior Staff Accountant

    Trillium Health NY - Rochester, New York
    ... Close Processes Prepare balance sheet account reconciliations, ensuring all differences ... Preparation of agency's annual AHCF cost report, MCVR report, Medicare cost report and UDS reporting. Support ...
  • Case Manager (RN) I/II/III - Medicare

    Excellus Health Plan Inc. - Rochester, New York
    ... & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality ... Medicare programs, and other regulatory requirements as applicable.Carries out job ...
  • Government Health Actuary Consultant

    Deloitte - Rochester, New York
    ... knowledge of the individual medical and small group markets Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types ...
  • Government Health Actuary Senior Consultant

    Deloitte - Rochester, New York
    ... small group markets Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types Familiarity with group insurance ...
  • Business Office Representative - Senior

    Rochester Regional Health - Rochester, New York
    ... knowledge of assigned receivable systems General knowledge of Medicare, Medicaid and insurance ... appeals. Process account adjustments and refunds as needed according to department policy and procedure ...
  • Outpatient Access Rep II

    University of Rochester - Rochester, New York
    ... verify information accuracy in order to establish a billable account. Enters information into the ... confirmation purposes. Assures completion of all appropriate forms by patients, such as, Medicare Secondary ...
  • Case Manager (RN or Licensed Behavioral Health) I/II/III - DUALS

    Excellus Health Plan Inc. - Rochester, New York
    ... & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality ... Medicare programs, and other regulatory requirements as applicable.Carries out job ...
  • Dental Access Rep III

    University of Rochester - Rochester, New York
    ... accuracy in order to establish a billable account. Enters information into the electronic medical record ... purposes. Assures completion of all appropriate forms by patients, such as, Medicare Secondary Payer ...
  • Outpatient Access Rep II - Webster

    University of Rochester - Rochester, New York
    ... verify information accuracy in order to establish a billable account. Enters information into the ... confirmation purposes. Assures completion of all appropriate forms by patients, such as, Medicare Secondary ...
  • Actuarial Analyst I/II/III/IV

    Excellus Health Plan Inc. - Rochester, New York
    ... >Develops rate or Medicare bid filings through analysis of benefit designs, claims experience, and expected ... factors and rate filings. Maintain rating methods and models or formulas for Commercial and Medicare lines ...
  • Outpatient Access Rep II

    University of Rochester - Rochester, New York
    ... verify information accuracy in order to establish a billable account. Enters information into the ... confirmation purposes. Assures completion of all appropriate forms by patients, such as, Medicare Secondary ...
  • Claim Resolution Rep IV-Inpatient/Outpatient - Remote/Hybrid Opportunity

    University of Rochester - Rochester, New York
    ... , Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims ... , High Dollar & Specialized Services Account Resolution** Through detailed knowledge of all ...
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