Clm Resltion Rep II, Hosp/Prv

Rochester • Rochester Technology Park • Full-time

$18,710

per year

Financial Responsibility insurance claims Claims Resolution revenue collection patient billing

Job Description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

905 Elmgrove Rd, Rochester, New York, United States of America, 14624

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

Department:

910402 United Business Office

Work Shift:

UR - Day (United States of America)

Range:

UR URCB 204 H

Compensation Range:

$18.71 - $25.27

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

GENERAL PURPOSE
Performs follow-up activities designed to bring all open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. Resolves moderately complex claims.

ESSENTIAL FUNCTIONS

Edits and reviews In-Patient and Out-Patient accounts to ensure completion, accuracy, and reflect the particular patient's financial responsibility.
Exercising tact and judgment, interviews patients and/or responsible parties.
May establish financial arrangements for charges.
Processes commercial insurance claims when applicable.
Refers to collectors for payment arrangements, if appropriate.
Retains responsibility for patient bills until paid in full.
Edits follow-up bills and makes contact with responsible parties when necessary to ensure complete satisfaction of the account.
May coordinate and/or train lower-level staff as required.

Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE
High School diploma and 2 years of related work experience required
Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.