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University of Rochester Charge Entry Specialist, UHS - 232771 in Rochester, New York

Charge Entry Specialist, UHS Job ID 232771

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

Responsibilities

HYBRID Office/Home

GENERAL PURPOSE:

Medical billing and payment specialist. Provides direct patient interaction for all types of University Health Service patients. Completes office charge entry functions in addition to handling cash, check and charge payments for both patient and Insurance payments. The position requires a high level of medical coding knowledge, billing expertise, HIPAA proficiency and understanding of the unique health requirements and insurance programs of the university community.

RESPONSIBILITIES:

  • Collects and documents insurance payments, ensuring payments received are posted into the electronic health record timely and accurately. Ensures remaining account balances are transferred to secondary payer, collection specialist or patient responsibility in accordance with remittance advice from payer.

  • Enters professional medical charges timely and accurately in the electronic billing system. Independently reviews and researches medical documentation within the EMR to accurately bill encounters, procedures and supplies. Abstracts medical information to identify appropriate diagnosis and procedure codes. Provides advanced support on medical coding to the UHS provider team.

  • Creates batches from records of closed encounters. Verifies the completeness and accuracy of all information including patient demographics, insurance company data, diagnosis, modifiers and procedures provided. Resolves information discrepancies using internal and external sources. Collects missing data, corrects registration and coding errors accordingly. Troubleshoots billing system entries to assura acceptance carrier. Corrects errors resulting in claim rejections.

  • Collects and documents patient payments, ensuring payments received at the time of service are recorded and balanced. Balances daily batches, preparing deposit tickets of collections. Resolves discrepancies.

  • Serves as point of contact for patient billing questions, answering procedural and process questions for all staff, researching complicated accounts and patient complaints through resolution.

  • Collaborates with office staff to assure collection of unpaid, underpaid and denied claims following insurance carrier processing.

    Other similar duties as required

    QUALIFICATIONS:

  • Associate's degree in Business Administration required

  • 2 years of hospital patient accounting or consumer collections experience, or certification obtained from a nationally accredited billing program or an equivalent combination of education and 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; knowledge of the University health plans for student, faculty and staff essential. Demonstrated competence with computers and software systems including Microsoft Office, electronic health records, and secure web functions.

  • Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS

    How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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