Clm Resltion Rep II, Hosp/Prv

About the role

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.

Responsibilities

• Performs follow-up activities designed to bring all open account receivables to successful closure.
• Responsible for an effective claims follow-up to obtain maximum revenue collection.
• Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims.
• Resolves moderately complex claims.
• Edits and reviews In-Patient and Out-Patient accounts to ensure completion, accuracy, and reflect the particular patient's financial responsibility.
• Exercising tact and judgment, interviews patients and/or responsible parties.
• May establish financial arrangements for charges.
• Processes commercial insurance claims when applicable.
• Refers to collectors for payment arrangements, if appropriate.
• Retains responsibility for patient bills until paid in full.
• Edits follow-up bills and makes contact with responsible parties when necessary to ensure complete satisfaction of the account.
• May coordinate and/or train lower level staff as required.
• Other duties as assigned.

Minimum Education & Experience

High School diploma and 2 years of related work experience required, or equivalent combination of education and experience.

Pay

$19.72 – $26.62 per hour. 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.

Schedule

Full time; 40 scheduled weekly hours; UR – Day shift.

Work location

Rochester Tech Park (RTP), Gates, NY – Remote options available after in-person training. Occasional onsite meetings/work at RTP are required. Remote location must be within 2 hours of RTP and within New York State.