Remote Claims Resolution Specialist II

University of Rochester; Town of Gates (NY); Remote; USD 26,000 - 36,000; Full time

Job summary

The University of Rochester offers a full-time Claims Resolution Representative II position focused on professional fee revenue. The role requires meticulous follow-up, research, correction, and resubmission of claims to maximize reimbursement.

Remote work options are available for work conducted in New York, with a 40-hour work week and reporting to Accounts Receivable Management. The ideal candidate will combine billing software proficiency with excellent customer service skills.

Qualifications

• High School Diploma or equivalent and 2 years of related work experience
• Strong working knowledge of professional billing software applications
• Excellent customer service skills

Responsibilities

• Research, correct, resubmit claims and file appeals to maximize revenue
• Follow up on denied accounts using remittances and payer communications
• Respond to billing inquiries from colleagues, patients and payors promptly
• Identify missing information and obtain updates to ensure accurate processing
• Escalate issues that may impede claim resolution to management
• Perform additional duties as assigned

Skills

Billing software proficiency

Customer service skills

Education

High School Diploma or equivalent

Job description

The University of Rochester offers a full-time Claims Resolution Representative II position focused on professional fee revenue. The role requires meticulous follow-up, research, correction, and resubmission of claims to maximize reimbursement.

Remote work options are available for work conducted in New York, with a 40-hour work week and reporting to Accounts Receivable Management. The ideal candidate will combine billing software proficiency with excellent customer service skills.