University of Rochester Insurance Collection Spec in Rochester, New York
Full Time 40 hours Grade 008 Emergency Billing
8 AM-5 PM
Responsible for all phases of inpatient and outpatient billing and accounts receivable follow-up for assigned billing areas within the Department of Emergency Associate' s operations, using billing software and other various third party software. This position requires optimizing reimbursement by proper registration of patient information, coding, and accurate and timely charge entry. Responsible for the collection and maintenance of aged accounts receivable work files and PCS files to identify, research, correct, and re-submit claims. Perform all related duties leading to and including payment posting of collected funds.
Coding, charge Review and charge entry: Responsible for all outpatient and inpatient billing review and follow-up for unpaid or rejected accounts. Works with billing staff to maximize collections and keep current NR to a minimum. Maintains work files and Edit lists weekly. Through supervision of Billing Manager and Lead responsible for increasing revenue and decrease denials by troubleshooting and follow up collection procedures. Works with outside agencies, 3rd party payers, patients, patient families, Administrators and Administrative staff on a regular basis.
Accounts Receivable Follow-up: Responsible for resolving unpaid, or rejected accounts for payment. Responsible for correspondence from third party payers, patients and the SSO. This includes extensive verbal and written contact with patients, physicians, third party payers, the SSO and various office personnel.
Claims Processing: Responsible for the accurate and timely processing of paper claims for reimbursement from third party payers. Must keep current on insurance policy submission guidelines, policies, and collection procedures for third party payers.
Submission of claims: Responsible for timely and accurate submission of billing. Responsible for
keeping current on insurance policy submission, guidelines, processing and collection procedures. To include meeting regularly to discuss changes mandated by third party payers and working through implementing needed changes with Lead Collection Specialist and Billing Manager.
Patient Registration: Responsible for obtaining accurate patient information and entering it into the billing system to ensure billing to correct payers. Knowledge of various software programs such as PC Easy, Q-Link and Omni-Pro to verify insurances is necessary.
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.
Prefer two to four years of related experience, or equivalent combination of education and experience. Requires good written and verbal communication skills. Requires legible handwriting, finger and manual dexterity. Requires computer keyboard skills, and broad computer knowledge. Certification in Billing/Coding preferred.
EOE Minorities/Females/Protected Veterans/Disabled
Job Title: Insurance Collection Spec
Location: Medical Faculty Group
Job ID: 210076
Full/Part Time: Full-Time