Patient Medical Biller III - University of Rochester : Job Details

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):

220 Hutchison Rd, Rochester, New York, United States of America, 14620

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

920706 Dentistry Central Billing

Work Shift:

Range:

UR URG 104 H

Compensation Range:

$18.65 - $26.11

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 charge review and claim edit resolution functions for rendered services from an inpatient or outpatient setting, including updating data at transaction, charge review session or claim and registration levels. Verifies accuracy and completeness of demographics, insurance, procedure code and modifier and diagnosis code information. Identifies key issues and patterns from partial/conflicting data. Responsible for an effective claim submission process to obtain maximum revenue collection. May act as an informal resource for colleagues with less experience.

Schedule 8 AM-4:30 PM Responsibilities POSITION SUMMARY: Is responsible for resolving aged insurance accounts which have not been collected through billing and routine follow-up activities. Assesses payment probability to determine appropriate collection technique. SUPERVISION AND DIRECTION EXERCISED: Responsible for monitoring own performance on assigned tasks against procedure standards. May train and coordinate activities of peers or lower classified support staff as directed by supervisor. MACHINES AND EQUIPMENT USED: Standard office equipment, including but not limited to, personal computer, UR Medicine billing and accounts receivable systems, telephone, photocopy machine, 10-key adding machine, internet, payer proprietary claims inquiry and entry software. TYPICAL DUTIES: Resolves unpaid insurance accounts which have not been paid/rejected within a predetermined period and are impeding the prompt resolution of A/R. Contacts are via correspondence, telephone or meeting with insurance representatives. If unable to resolve insurance problem with third-party insurance for any reason (lack of cooperation, etc.): researches, identifies and contributes to resolution, collaborates with internal payer contracting department and/or files and appeal. Documents all actions for both patient and University personnel and interact with ancillary areas to secure needed assistance/documentation to meet insurers requirements. Maintains a detailed knowledge of insurance regulations and billing procedures which affect A/R, so as to rebill accounts correctly. Responds to written and verbal inquiries. Maintains records for effective reporting on both daily and weekly basis. QUALIFICATIONS: Associate's degree in Business Administration and 2 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. Ability to type 25 wpm. NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required. 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.

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.