Molina HealthcareNewMedical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina HealthcareMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Rochester, NY$29.05–$67.97 / hourJob QualificationsREQUIRED QUALIFICATIONS:• At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Job SummaryUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
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.
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.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Batavia, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Batavia, New YorkBatavia, 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 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 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 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 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 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.
The Progressive CorpAuto Damage Claims Adjuster The Progressive CorpAuto Damage Claims AdjusterRochester, NY$67,000–$81,200 / yearMust-have qualifications: A minimum of four years of relevant work experience with one year appraisalestimatics or insurance experience OR Associates degree and a minimum of three years relevant work experience with one year appraisalestimatics or insurance experience OR Bachelors degree and a minimum of one year appraisalestimatics or insurance experience. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at http://careers.progressive.com/pages/show-we-hire-faq-job-scams.
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 Indemnity CoNewClaims Supervisor Erie Indemnity CoClaims SupervisorRochester, NY$93,127–$148,762 / yearThis 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 ERIEs 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.
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.
Matrix Absence Management, Inc.Claims Examiner I - SSL Matrix Absence Management, Inc.Claims Examiner I - SSLcanandaigua, NY$22.41–$28.02 / hourSitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. The Claims Examiner I obtains and analyzes data for thorough, fair, objective, and timely processing of New York State statutory Short-Term Disability and Paid Family leave claims.
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.
Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceRochester, NY$118,700–$218,600 / yearThe wage range for this role 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. Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) in claims, medical record, or appeals reviews.
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.
Quatela Center for Plastic SurgeryNewBilling Specialist Quatela Center for Plastic SurgeryBilling SpecialistRochester, NYPerform collection activities including contacting patients, correcting and resubmitting claims, and preparing accounts for collection agency processing . Enter new procedures and surgeries into EMR systems and update fees annually according to BCBS fee schedule changes or management direction .
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.
Rochester Regional HealthNewAdministrative Assistant - Rochester General Hospital (RGH), Admin/Business Support (Full-Time, Days) Rochester Regional HealthAdministrative Assistant - Rochester General Hospital (RGH), Admin/Business Support (Full-Time, Days)Rochester, NY$17.75–$24 / hourEDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL 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. For 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.
Wegmans Food Markets IncPharmacy Technician Trainee Wegmans Food Markets IncPharmacy Technician TraineeIrondequoit, NY$19–$19.50 / hourJob Description: At Wegmans, our pharmacy technicians are instrumental in building trust by providing best-in-class service that sets Wegmans apart and ensures that customers are getting the medical attention, care, and health services that they depend on us for. Working at Wegmans provides opportunities to grow, flexible scheduling, incredible benefits, and the experience of working for a company with a reputation you can be proud of.
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.
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.
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.
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.
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.
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 .
West Virginia University MedicineNewPatient Access Specialist West Virginia University MedicinePatient Access SpecialistRochester, NYCommunicates and interacts with clients, families, visitors, physicians, departmental, and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s). Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift.
Rochester Regional Health SystemSr Admin Assistant Rochester Regional Health SystemSr Admin AssistantRochester, NY$19.75–$26 / hourPerforms a variety of administrative/clerical duties including: meetings, schedules, appointments, making copies/fax, travel arrangements, processing time cards, processing personnel data, handling budgets, and processing work orders, requisitions, expense reports, stationary orders, and the like. Regularly contacts company personnel within the hospital at all organizational levels and/or, as required, with external contacts, such as customers, other organization affiliates, physicians, contractors, vendors or suppliers in the completion of assignments.
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.).
COUNTY OF MONROENewLegal Assistant - CSEA, prov. COUNTY OF MONROELegal Assistant - CSEA, prov.Rochester, NY$45,550–$60,217 / yearGraduation from high school or possession of an equivalency diploma, plus: (A) Four (4) years paid full‑time or its part‑time equivalent experience involving all of the following: preparing legal documents, developing financial and related information, and preparing case files for administrative and legal proceedings in a job setting such as a claims office, insurance office, disability or unemployment office, job service office, a law firm, or human relations or advocacy office; OR, (B) Graduation from a regionally accredited or New York State registered college or university with an Associate's degree in Paralegal Studies or a closely related field, plus one (1) year paid full-time or its part time equivalent experience as defined in (A) above; OR. (C) Graduation from a school of business or business institute with a diploma or certificate in Paralegal Studies or a closely related field plus one (1) year paid full-time or its part-time equivalent experience as defined in (A) above; OR.
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.
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.
Chubb LtdSenior Risk Engineer, Equipment Breakdown Chubb LtdSenior Risk Engineer, Equipment BreakdownRochester, NY$86,000–$124,000 / yearThe Senior Risk Engineer, Equipment Breakdown performs risk evaluations, evaluates exposures and controls, develops meaningful loss estimates, and communicates findings to business partners. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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.
New York State Thruway AuthorityAssistant Insurance Fund Services Representative New York State Thruway AuthorityAssistant Insurance Fund Services RepresentativeRochester, NY$53,413–$65,061 / yearFor competitive appointment: Transfer: Current New York State employee with one year of permanent competitive class service in a title eligible for transfer under Section 70.1 of Civil Service Law. About NYSIF: For more information about NYSIF, including our mission, commitment to diversity, equity, and inclusion, and efforts to fulfill Executive Order 31, please visit www.nysif.com.
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.
Deloitte Touche Tohmatsu LtdNewEpic Tapestry Specialist Deloitte Touche Tohmatsu LtdEpic Tapestry SpecialistRochester, NY$120,000–$140,000 / yearOperations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, design, implement, and deploy innovative and technology enabled solutions focused on "heart of the business" issues in specific sectors including Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management, Insurance, Telecom, Media and Energy & Resources.
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.
Rochester Regional Health SystemBusiness Office Representative Rochester Regional Health SystemBusiness Office RepresentativeNY$18.50–$23.03 / hourFor Revenue Integrity: • For team members who are responsible for completing payment posting: research and resolve payment posting requests/discrepancies in order to properly relieve the receivable. Position Summary: Ensure full reimbursement is received by RRH for clinical services rendered including professional, long-term/home care and hospital care, by effectively and accurately managing a receivable.
University of RochesterSenior Director, Medical Staff Services University of RochesterSenior Director, Medical Staff ServicesRochester, NY$140,350–$210,525 / yearWorks in close partnership with the University of Rochester Medical Center (URMC) Information Systems Division, URMC Office of Integrity and Compliance, URMC Office of Quality Assurance, URMC Office of Counsel, University of Rochester Medical Faculty Group, SMD Office of Academic Affairs, and Affiliate Hospitals to enhance efficiency, accuracy, compliance, data-driven decision-making and to drive operational excellence and advance the quality of health care practitioners and patient safety of the organization and community. Centralized Credentialing Verification Functions: Directs the practitioner (physician and allied health practitioners - employed & non-employed) credentialing and re-credentialing application process for medical staff membership and clinical privileges for the UR Medicine Health System affiliated hospitals, nursing homes, surgical centers and health centers as well as for other non-affiliated regional contracted health care organizations.
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.
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.