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University of Rochester Self-Pay Credit Balance Specialist (Off site location) - 232241 in Rochester, New York

Self-Pay Credit Balance Specialist (Off site location) Job ID 232241

Location Medical Faculty Group Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 008 Patient Self-Pay Services

Schedule

8 AM-4:30 PM OR 8:30 AM-5 PM

Responsibilities

Job Summary

With latitude for initiative and independent judgment within department guidelines, the position is responsible for managing inpatient/outpatient accounts from the beginning of the billing period through the accurate resolution of the account. Collection activities will focus on self pay accounts. Activities performed will focus on resolving balances, referral for collection activity, presumptive financial assistance, and working reports to ensure that billing is generated timely to the patient. Makes independent decisions as to the processes necessary to collect and resolve billing issues. Maintain a detailed knowledge of billing requirements and regulations (including the Fair Credit Debt Collection Practices Act) to ensure that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH) in a professional manner, protecting confidentiality of patient information at all times.

Key Functions and Expected Performances

Work weekly, bi-weekly and monthly reports and Work Lists to help decrease the amount of unbilled self pay visits and ensure timely billing to patients. Assure all hold bills are resolved within 30 days of hold. Examples of reports include but are not limited to:

  • Unbilled Cash Claims

  • Self Pay plans not final billed

  • Hold Bill Worklists

  • Statement Edits

  • Credit Balances

  • Self Pay > $10,000

  • Faith Based Reports

  • Budget Plans

Review and resolve credit balances related to self pay accounts to decrease the amount of credit balances currently in the self pay receivables. This includes but is not limited to:

  • Reviewing patient accounts for Strong Memorial Hospital and Medical Faculty Group for outstanding credit transfers

  • Creating appropriate refund spreadsheets to have patient refunds transfer

  • Transfer payments between visits

  • Transfer balances between plans to resolve off-setting balances

Receive incoming patient inquires and to complete necessary follow up activities based on the inquiry received from both internal and external customers. Follow up may include:

  • Initiating insurance billing

  • Explaining the balances shown on a patient statement and the processes for further review

  • Advising callers about payment options

  • Working with other areas to determine accuracy of balances shown

Initiate outgoing calls to customers regarding outstanding balances based on a dollar threshold and to resolve these balances by making further recommendations for:

  • Collection agency referral

  • Presumptive financial assistance

  • insurance billing

  • other recommendations to resolve account

Act as backup for the collection agency liaison to provide cross coverage which includes but is not limited to:

  • Estate Claim verification

  • Settlement Offers for collection agency accounts

  • Bankruptcy filings and resolution

  • Review of disputes from collection agency referrals

    NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required based on the business needs of the department, and URMC, including SMH, MFG and HH.

Requirements:

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 use 10 key adding machine and type 25 wpm. Working knowledge of Microsoft Word and Excel and a general knowledge of researching information via using the web.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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