Insurance Collection Rep III
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What you'll do
- 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.
What they're looking for
- Associate's degree and 2 years of hospital patient accounting or consumer collections experience required
- Or equivalent combination of education and experience
Nice to have
- 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
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
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.
Job Location (Full Address):
135 Corporate Woods, Ste 150, Rochester, New York, United States of America, 14623Opening:
Worker Subtype:
RegularTime Type:
Full timeScheduled Weekly Hours:
40Department:
920706 Dentistry Central BillingWork Shift:
UR - Day (United States of America)Range:
UR URG 105 HCompensation Range:
$20.34 - $28.51The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Resolves aged insurance accounts which have not been collected through billing and routine follow-up activities. Assesses payment probability to determine appropriate collection technique.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.
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