Insurance Collection Rep III

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.

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ESSENTIAL FUNCTIONS

• Resolves unpaid insurance accounts which have not been paid or rejected within a predetermined period and are impeding the prompt resolution of Accounts Receivable. Contacts via correspondence, telephone or meeting with insurance representatives.
• Researches, identifies, and contributes to resolution if unable to resolve with third-party insurance. Collaborates with internal payer contracting department and/or files an appeal.
• Documents all actions for both patient and University personnel and interacts with ancillary areas to secure needed assistance and documentation to meet insurers requirements.
• Maintains a detailed knowledge of insurance regulations and billing procedures which affect Accounts Receivable, so as to rebill accounts correctly.
• Responds to written and verbal inquiries.
• Maintains records for effective reporting on both daily and weekly basis.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• Associate's degree and 2 years of hospital patient accounting or consumer collections experience required
• Or equivalent combination of education and experience

LICENSES AND CERTIFICATIONS

• 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) preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture 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 characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.