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):
601 Elmwood Ave, Rochester, New York, United States of America, 14642Opening:
Worker Subtype:
RegularTime Type:
Full timeScheduled Weekly Hours:
40Department:
500160 Pharmacy SMHWork Shift:
UR - Day (United States of America)Range:
UR URC 206 HCompensation Range:
$20.99 - $28.34The 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:
Plans, organizes and conducts operations that affect the revenue cycle, such as billing, collections, and payment processing. Recommends and implements processes to meet revenue cycle goals in collaboration with medical practices. Conducts related training, monitoring, analysis and reporting on revenue cycle processes and results. Recommends and implements practice-specific process improvement recommendations. ESSENTIAL FUNCTIONS
- Resolves accounts on work queues relevant to the area. Researches accounts held from billing and reviews flagged accounts and research documentation to ensure accuracy. Takes appropriate system actions on accounts based on billing guidelines and record research.
- Posts electronic files, self-pay payments, third-party commercial payments, reverse charge off accounts sent to the collection agency, manual insurance payments, denials, credit card payments and authorization. Processes patient refunds, as needed.
- Responds to incoming questions and solves problems for difficult and unusual accounts. Troubleshoots problem identification, quantification, and resolution. Assists with the development of monthly schedule, outlining individual duties and responsibilities, including but not limited to, electronic file processing, manual payment posting, refunding, Self-Pay and CC Payments. Enters problems, employee errors, transactions and questions into respective databases and follows issues through to resolution.
- Provides support regarding payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance reports issued by external partners. Reconciles client billing on a monthly basis. Assists with credit balance work queues as needed.
- Recommends improvements to policies and procedures. Assists with the review of existing policy and procedure manuals.
Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
- Associate's degree and 1 year of relevant experience required
- Or equivalent combination of education and experience
EOE Minorities / Females / Protected Veterans / Disabled:
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion 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 status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.