Senior Claims Resolution Specialist

University of Rochester; Town of Gates (NY); Hybrid; USD 29,000 - 40,000; Full time

Job summary

The University of Rochester is seeking a Billing Specialist to perform follow-up activities designed to bring all open accounts receivable to successful closure and maximize revenue. The role involves researching, correcting, resubmitting claims, and timely appeals while mentoring junior staff.

Location is Rochester Tech Park in Gates, NY with in-person training; remote options may be available after training and occasional on-site meetings at RTP.

Qualifications

• Associate’s degree and 3 years of relevant experience required.
• Or equivalent combination of education and experience.

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.
• 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.
• Identifies need for in-person meetings with third party insurance representatives for complex high dollar accounts and prepares information for those meetings.
• Researches and initiates suggestions to leadership to streamline processes and training materials.

Education

Associate’s degree

3 years of relevant experience

Job description

The University of Rochester is seeking a Billing Specialist to perform follow-up activities designed to bring all open accounts receivable to successful closure and maximize revenue. The role involves researching, correcting, resubmitting claims, and timely appeals while mentoring junior staff.

Location is Rochester Tech Park in Gates, NY with in-person training; remote options may be available after training and occasional on-site meetings at RTP.