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University of Rochester Account Rep Collection Specialist, UHS - 233790 in Rochester, New York

Account Rep Collection Specialist, UHS Job ID 233790

Location Central Administration Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 008 University Health Service

HYBRID Office/Home

Schedule

8 AM-5 PM

Responsibilities

HYBRID Office/Home

GENERAL PURPOSE:

With latitude for initiative and independent judgment within department guidelines, the position is responsible for managing iaccounts from the beginning of the billing period through the accurate resolution of the account. Revenue collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on resolving balances on aged insurance accounts which have not been collected through routine billing and collection activities, ensuring the visit balances are set up on the accounts receivable at expected reimbursement, and determining and completing the collection process that will result in payment. Makes independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Maintain a detailed knowledge of billing requirements and regulations to ensure that the process conforms to federal and state regulations. The Account Representative will represent University Health Service in a professional manner, protecting confidentiality of patient information at all times.

RESPONSIBILITIES:

  • Complete follow up activities on unpaid or under-paid accounts by contacting payer representatives or utilizing online systems with insurance companies and other third-party payers to obtain payments, research and resubmit rejected claims to primary payers, obtain and verify insurance information.

  • Track electronic claim payments through payer websites, SharePoint treasury page and interdepartmental communications to assure payments are deposited, claimed or transferred to the correct revenue account in a timely manner.

  • Batch and save payer remittance advice to UHS Share drive, preparing documents for manual payment posting when necessary.

  • Work weekly, bi-weekly and monthly reports and work files via calculating and processing transactions such as payer to payer transfers, contractual adjustments, and payments posted to manage and reduce accounts receivable.

  • Researches overpaid accounts including, payer offsets, forwarding balances and refunds, coordinating with interdepartmental contacts and payer representatives to assure credits are dispersed timely and accurately.

  • Other duties as assigned: Cross train on all functions of UHS Billing and Insurance team to provide backup coverage as needed. Assists with staffing at UHS offsite clinics occasionally including evening and weekend hours.

    QUALIFICATIONS:

  • Associate's degree in Business Administration, Health Care Administration or a related discipline; or an equivalent combination of education and experience required.

  • 2 years of hospital patient accounting or consumer collections experience required.

    Preferred:

    Excellent communication and organizational skills; meticulous attention to detail and accuracy in all tasks. Demonstrates excellence in customer service, the ability to work with people both in person and by phone; Demonstrated competence with computers and software systems including Microsoft Office, electronic health records, and secure web functions.

    How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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