Aditi ConsultingPharmacy Authorization Technician Aditi ConsultingPharmacy Authorization TechnicianRochester, NY$18–$19 / hourTemporaryContractorFull timeConsent to Communication and Use of AI Technology: By submitting your application for this position and providing your email address(es) and/or phone number(s), you consent to receive text (SMS), email, and/or voice communication whether automated (including auto telephone dialing systems or automatic text messaging systems), pre-recorded, AI-assisted, or individually initiated from Aditi Consulting, our agents, representatives, or affiliates at the phone number and/or email address you have provided. Reviews and interprets prescription and medical benefit coverage across all lines of business including Medicare D to determine what type of prior authorization review is required, documents any relevant medication history and missing information to assist the pharmacist/nurse/physician in the review process.
Macpower Digital Assets Edge LLCClaims Adjuster Macpower Digital Assets Edge LLCClaims AdjusterRochester, NYFull timeWe're seeking a dynamic and knowledgeable individual to join our team and make a significant impact in incident claim liability mitigation through collaborative efforts with internal and external stakeholders and managing high case loads Must Haves: Associates Degree in Business, Risk Management or related field. Qualifications: Associates degree in Business, Risk Management or related field is required 2-4 years of hands-on experience primarily in Worker's Compensation and General liability claims.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Geneva, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Geneva, New YorkGeneva, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Rochester, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Rochester, New YorkRochester, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hilton, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hilton, New YorkHilton, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Canandaigua, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Canandaigua, New YorkCanandaigua, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Penfield, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Penfield, New YorkPenfield, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Spencerport, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Spencerport, New YorkSpencerport, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pittsford, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pittsford, New YorkPittsford, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fairport, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fairport, New YorkFairport, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Brockport, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Brockport, New YorkBrockport, NYFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
Macpower Digital Assets Edge Private LimitedClaims Adjuster Macpower Digital Assets Edge Private LimitedClaims AdjusterRochester, NY$75,000–$85,000 / yearWe're seeking a dynamic and knowledgeable individual to join our team and make a significant impact in incident claim liability mitigation through collaborative efforts with internal and external stakeholders and managing high case loads <900. Bonus Points will be given to experience of working at an insurance firm, especially with Travelers.
Erie InsuranceClaims Supervisor Erie InsuranceClaims SupervisorRochester, NYFull timeThis range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Kaeppel ConsultingClaims Support Specialist - Rochester, NY Kaeppel ConsultingClaims Support Specialist - Rochester, NYRochester, NYDuties and Responsibilities:Performs support and administrative functions, including answering phones, filing, copying/imaging, faxing, processing and distributing mail and supporting third party vendor relationships and processes. Provides inbound and outbound phone support and customer service to all customers including policyholders, claimants, and agents, and handles all inquiries with customer service as a priority.
One Path Career PartnersAdministrative Claims Support Representative One Path Career PartnersAdministrative Claims Support RepresentativeRochester, NYTo be considered for this position, please have a HS Diploma, a minimum of 3-years of customer service experience, and strong computer skills. Follows procedures and utilizes resources to ensure that quality metrics are met.
Rochester Regional HealthMedical Billing Representative Rochester Regional HealthMedical Billing RepresentativeRochester, NY$20.26–$29.40 / hourRESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management, and knowledge of medical terminology, physician fee schedules, DRGs, and reimbursement procedures. + Account Management & Collections: Retrieves and updates patient account statuses, processes remittances, manages A/R, ensures accurate charge entry, and performs financial analysis to support revenue goals.
Ethos Risk ServicesInvestigator Ethos Risk ServicesInvestigatorRochester, NYPrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Ethos Risk ServicesEntry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorRochester, NYOur Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! Documentation: Finalize case files by submitting case reports and uploading video footage via personal laptop at the end of the day.
Lemieux & Associates LLCPrivate Investigator - Retired/Former Law Enforcement Lemieux & Associates LLCPrivate Investigator - Retired/Former Law EnforcementRochester, NYWe're actively seeking retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. Join a team where your background is respected, your voice is heard, and your work continues to make a difference.
University of RochesterClm Resltion Rep IV, Hosp/Prv University of RochesterClm Resltion Rep IV, Hosp/PrvRochester, NY$20.99–$28.34 / hourIndependently 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 from complex claims, high dollar claims, and specialized services. Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone conferences regarding complex high dollar claims.
Carrie Rikon & AssociatesRevenue Cycle Supervisor Carrie Rikon & AssociatesRevenue Cycle SupervisorBrockport, NY$75,000–$75,000The ideal candidate will have experience managing large claim volumes (up to 1,000 claims), working across multiple offices, and coordinating with diverse teams. Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger, in close collaboration with Senior Accountants.
University of RochesterClm Resolution Rep III University of RochesterClm Resolution Rep IIIRochester, NY$19.62–$26.49 / hourQUALIFICATIONS: • Required: 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 • Preferred: Strong working knowledge of the professional billing software applications • Ability to type 25 wpm. ESSENTIAL FUNCTIONS: • With general direction of the Manager/Supervisor/Lead: 40% • Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services.
Erie InsuranceMedical Management Specialist Erie InsuranceMedical Management SpecialistRochester, NYFull timeAdditional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.
Eyemart ExpressLicensed Optician Associate FT Greece, NY Eyemart ExpressLicensed Optician Associate FT Greece, NYRochester, NY$28–$35 / hourToday, Eyemart Express is celebrated for promptly delivering quality eyewear at great prices, while maintaining great relationships with optometrists and local communities. Provide Exceptional Customer Service: Use your optical expertise and product knowledge to precisely meet customer needs, ensuring personalized and informed interaction.
Walgreen CoPharmacist Walgreen CoPharmacistHenrietta, NY$64.60–$71.05 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Greater Rochester Neurological Associates, P.C.Medical Biller/Coder Greater Rochester Neurological Associates, P.C.Medical Biller/CoderRochester, NYThe ideal candidate is certified in medical coding, has excellent attention to detail, strong customer service skills, able to multitask and is comfortable spending much of the day on the phone. You will also assist other Medical Billers/Coders with insurance verification, processing claims and patient bills, processing payments and follow-up with outstanding claims/balances.
Dominic Agostini - State Farm AgentAccount Associate - State Farm Agent Team Member Dominic Agostini - State Farm AgentAccount Associate - State Farm Agent Team MemberIrondequoit, NYWe offer engaging, team-focused sales incentives, including monthly competitions across multiple offices that encourage friendly competition, performance recognition, and opportunities for bonuses and promotions. ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Dominic Agostini - State Farm Agent, you are vital to our daily business operations and customers’ success.
Aditi ConsultingDocument Service Representative Aditi ConsultingDocument Service RepresentativeRochester, NY$18–$19 / hourConsent to Communication and Use of AI Technology: By submitting your application for this position and providing your email address(es) and/or phone number(s), you consent to receive text (SMS), email, and/or voice communication whether automated (including auto telephone dialing systems or automatic text messaging systems), pre-recorded, AI-assisted, or individually initiated from Aditi Consulting, our agents, representatives, or affiliates at the phone number and/or email address you have provided. Perform accurate Formworks data entry on correspondence documents in accordance with departmental desk levels to ensure work items are filed appropriately in Macess and work items are routed to the correct doc flo queue for handling by each business area .
University of RochesterClm Resltion Rep II, Hosp/Prv University of RochesterClm Resltion Rep II, Hosp/PrvRochester, NY$18.71–$25.27 / hourESSENTIAL FUNCTIONS: • With general direction of the Manager/Supervisor/Lead: 40% - Follows department policies and procedures and maintains and exercises thorough knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivables, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services. Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910402 United Business Office Work Shift: UR - Day (United States of America) Range: UR URCB 204 H Compensation Range: $18.71 - $25.27.
Rochester Regional Health SystemPharm Bllg Spec II - HC Rochester Regional Health SystemPharm Bllg Spec II - HCRochester, NY$19–$24 / hourFor disease specific care programs, refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. • S - Sedentary Work - Exerting up to 10 pounds of force occasionally • Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time.
Walgreen CoPharmacy Intern Grad Walgreen CoPharmacy Intern GradCanandaigua, NY$35.55–$39.10 / hourCounsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Walmart IncNew(USA) Pharmacy Pre-Grad Intern - WM 2043 Walmart Inc(USA) Pharmacy Pre-Grad Intern - WM 2043WARSAW, NY$21.50–$34.50 / hourProvides Pharmacy products and services to Customers in accordance with local state and federal laws and Company policies and procedures by assisting with processing prescription andor overthecounter OTC orders and purchases stocking and securing Pharmacy supplies and merchandise entering prescription information andor filling prescriptions completing maintaining and securing paperwork forms and required documentation. Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent.
Agent AllianceRemote Customer Service/Sales Representative Agent AllianceRemote Customer Service/Sales RepresentativeRochester, NYRemote$65,000–$70,000 / yearOur representatives meet remotely with individuals who have signed up to receive supplemental benefits that help protect their families beyond what their employer covers. Flexible work schedule with the ability to work from home (Our offices are open if you work more efficiently in an office setting).
MaximusReporting Specialist MaximusReporting SpecialistRochester, NYFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
GallagherSafety Manager GallagherSafety ManagerRochester, New YorkThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.
University of RochesterClinical Nutrition Spec 2 University of RochesterClinical Nutrition Spec 2Rochester, NY$71,427–$92,855 / yearOpening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500061 Nutritional Support Services Work Shift: UR - Day (United States of America) Range: UR URCD 213 Compensation Range: $71,427.00 - $92,855.00. Interdisciplinary Teamwork - Educating inpatient and outpatient provider teams, care coordinators, dietitians and other healthcare professionals on home enteral nutrition and insurance nuances.
University of RochesterSelf-Pay Collection Rep University of RochesterSelf-Pay Collection RepRochester, NY2 years of hospital patient accounting or consumer collections experience, or certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and experience. Acts as a collection agency liaison to make certain accounts are following the self-pay cycle, terms of contract are being adhered to and service levels are being met which includes but is not limited to: • Monitors collection agency referrals/assignments and return files.
Excellus Health PlanNewUtilization Management Services Rep I Excellus Health PlanUtilization Management Services Rep IRochester, NYProvide, prepare, and assist with preliminary support to multiple levels of providers and or members (as well as others as needed), including but not limited to physicians, skilled nursing facilities, mid-level providers, members, pharmacies, pharmacists, and support staff. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipment.
The Cooper Companies IncLitigation Paralegal The Cooper Companies IncLitigation ParalegalVictor, NY$77,750–$103,667 / yearThe position will also help manage internal investigation processes, employment-related policies, labor and employment claims, communications with outside counsel representing the company, and insurance and risk management reporting and administration in relation to litigation and employment matters. Excellent research and writing skills, with demonstrated experience in preparing and reviewing legal documents, including pleadings, discovery, motions, settlement agreements, and correspondence.
USIC Locating Services, LLCUtility Locator USIC Locating Services, LLCUtility LocatorRochester, NYFull timeWe are America’s leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications, electric, gas, water, and sewer utilities and municipalities we serve nationwide. Education Partnership & Scholarship Program – Discounted tuition for USIC employees, their spouses, and dependents through Indiana Tech (courses available online nationwide).
Van Bortel Subaru of RochesterNewAutomotive Warranty Administrative Assistant Van Bortel Subaru of RochesterAutomotive Warranty Administrative AssistantRochester, NYWe promise to maintain a well-trained workforce and a safe, modern facility in order to render our customers the best possible support and to provide our employees a secure future. Kitty Van Bortel owns one of the top selling Subaru dealerships in the nation, as well as one of the most successful Ford dealerships in a multi-state area.
Van Bortel Subaru of VictorNewAutomotive Warranty Administrative Assistant Van Bortel Subaru of VictorAutomotive Warranty Administrative AssistantRochester, NYWe promise to maintain a well-trained workforce and a safe, modern facility in order to render our customers the best possible support and to provide our employees a secure future. Kitty Van Bortel owns one of the top selling Subaru dealerships in the nation, as well as one of the most successful Ford dealerships in a multi-state area.
Deloitte Touche Tohmatsu LtdNewBilling and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerRochester, NYRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Agent Alliance Inc.NewVirtual Entry Level Sales Rep Agent Alliance Inc.Virtual Entry Level Sales RepRochester, NYFull timeOur representatives meet remotely with individuals who have signed up to receive supplemental benefits that help protect their families beyond what their employer covers. Flexible work schedule with the ability to work from home (Our offices are open if you work more efficiently in an office setting).