Responsibilities

Position Summary:

Provides billing and educational support to the Patient Financial Services and various outpatient departments as needed for services which are to be billed consistently with Federal and State regulations as well as specific payer agreements. Ensures that all billing and payments are processed per proper coding regulations and contracts. Prepares and maintains billing for these claims on a daily basis. Assists the PFS Revenue Cycle Manager and multiple department administrators with planning and problem solving, goals, and objectives for this billing area. Recognizes and supports the Strong Commitment to service excellence.

Key Functions and Expected Performances:

Under general direction and with latitude for independent judgment:

30%

• In a highly independent environment, provide advanced and proficient billing and department focused follow-up activities to the Patient Financial Services Department and multiple department administrators for all payors.

• Provide timely and accurate information regarding actions to Patient Financial Services to assure operations and receivable management are acting in a coordinated and efficient manner.With support of the Revenue Cycle Manager administer and coordinate hospital procedures relative to billing, reimbursement, and accounting functions for various services.

• Complete collection activities associated with specific departmental billing

• Identify and resolve problems related to those accounts, including but not limited to duplicate or incorrect charges, incorrect coding, erroneous contract information and initiate corrected claim submission accordingly

• Create and submit appeals for denials

• Communicate with the department for authorization and coding issues.

• Document all actions and interact with ancillary areas to secure needed assistance

30% On a quarterly basis initiate internal billing audits to ensure that payments are captured accurately and in full. Coordinate and provide support for all internal and external billing audits, reviews or projects for this area.

20% Serve as a focal point for Department Administrators to contact for answering questions and problem-solving. Assist in problem identification and resolution.

10% Ensure timely processing of credit balances when overpayments occur.

• Ensure timely processing of credit balances from monthly and quarterly reports

• Review AR reports generated within the billing system to ensure accuracy and report variances to Department Administrators and the PFS Ambulatory Operations Manager

5% Act as the liaison between the Patient Financial Services department and various departments working with all levels of management and medical professional staff to assure billing compliance and superior customer service.

5% Other duties as assigned: attends internal and external meetings and seminars when appropriate; attends continuing education seminars as needed.

May perform other duties as assigned.

Qualifications:

Associate’s degree in business field and 4-5 year’s experience in hospital billing, accounting, and/or coding; or an equivalent combination of education and experience.

Note: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion 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 status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $21.50 - $29.03 Hourly

The 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.

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Location: Strong Memorial Hospital
Full/Part Time: Full-Time
Opening:
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