Remote Claims Resolution Specialist III

University of Rochester; City of Albany (NY); Remote; USD 27,000 - 36,000; Full time

Job summary

The University of Rochester is hiring a Claims Resolution Representative III for remote work in New York, Albany. This role handles follow-up on complex accounts to maximize revenue, corrects claims, and resubmits as needed.

You will liaise with payors, providers, and internal teams from a remote setting. Qualifications include an associate degree with 2 years of related experience, strong problem-solving and communication skills, and proficiency with billing software.

Qualifications

• Associate degree and 2 years of related relevant experience; or equivalent combination of education and/or experience.
• Excellent problem-solving skills.
• Excellent communication skills.
• Excellent customer service skills.
• Strong working knowledge of the professional billing software applications.
• Ability to type 25 wpm.

Responsibilities

• Research and resolve unpaid accounts receivable and balance resolutions.
• Follow up on denials by reviewing remittances and payer communications.
• Respond to billing inquiries from colleagues, patients, and payors promptly.
• Communicate missing information to providers and support staff to ensure accurate billing.
• Coordinate with departments to prepare appeals and grievances.
• Escalate system issues affecting claims submissions and follow-up.

Skills

Problem solving

Communication

Customer service

Billing software

Typing 25 wpm

Education

Associate degree

Tools

Billing software

Job description

The University of Rochester is hiring a Claims Resolution Representative III for remote work in New York, Albany. This role handles follow-up on complex accounts to maximize revenue, corrects claims, and resubmits as needed.

You will liaise with payors, providers, and internal teams from a remote setting. Qualifications include an associate degree with 2 years of related experience, strong problem-solving and communication skills, and proficiency with billing software.