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Claims Resolution Representative II, Hospital/Professional

University of Rochester

Responsible for routine follow-up activities to resolve open accounts receivable and support successful claim closure.

Work includes researching, correcting, and resubmitting claims; submitting appeals; and taking timely action to resolve unpaid claims. The role reports to Accounts Receivable Management and works across the professional fee organization.

Key responsibilities include:

  • Reviewing unpaid and denied accounts to support revenue collection
  • Researching claim issues and taking appropriate corrective action
  • Communicating with colleagues, departments, patients, and payors regarding billing-related questions
  • Working with insurance representatives by phone, payer portals, and written correspondence
  • Monitoring claim processing trends and escalating issues when needed
Requirements & Qualifications

Required

  • High school diploma
  • 2 years of related work experience, or equivalent combination of education and experience

Preferred

  • Strong working knowledge of professional billing software applications
  • Excellent customer service skills

Location

New York, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

4 months ago

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