Health Insur & Auth Rep III

University of Rochester • City of Rochester, NY

100d • $19 - $26

About The Position

The University of Rochester is seeking a dedicated individual to manage and provide financial account management for all urgent, emergent, and pre-admission visits with a Surgery Admit and Inpatient/Outpatient levels of care. This role involves coordinating activities necessary to financially secure the defined case load through verifying insurances, requesting deposits for non-covered services and co-pays, and addressing complex problems related to authorizations and benefits. The position requires effective communication and collaboration with patients, families, third-party payers, and various departments within the University of Rochester Medical Center System.

Requirements

• High School diploma or equivalent and 2 years of related experience, preferably in a hospital setting.
• Associate's degree preferred or equivalent combination of education and experience.
• High degree of professionalism and motivation.
• Excellent communication and customer service skills.
• Strong ability to multi-task and prioritize.
• Flexibility to work weekends and other assigned hours.
• Familiarity with medical terminology.
• Strong computer skills and ability to type 45 words per minute preferred.

Responsibilities

• Manages financial account management for urgent, emergent, and pre-admission visits.
• Coordinates activities to secure financial coverage for defined case load.
• Verifies insurances and requests deposits for non-covered services.
• Identifies complex problems related to authorizations and coordination of benefits.
• Communicates and collaborates with patients, families, and third-party payers.
• Documents demographic and insurance information accurately in the hospital system.
• Identifies uninsured and underinsured patients for referral to Financial Case Management.
• Notifies and monitors patients for completion of adding newborns onto policy.
• Determines primary payer through knowledge of Medicare and other regulations.
• Maintains a monitoring system for benefit coverage and eligibility.
• Reviews payer denials and performs necessary follow-up to secure payment.
• Monitors current admissions for eligibility and clinical requirements.
• Develops a process to monitor caseload and communicates essential information.
• Verifies Medicaid eligibility every 30 days for active coverage.
• Ensures compliance with Office of the Inspector General guidelines.
• Creates a professional customer-oriented environment through effective communication.
• Provides training and resources to coverage areas within URMC/affiliates.

Benefits

• Competitive salary range of $19.62 - $26.49 per hour.
• Full-time employment with a scheduled weekly hours of 40.
• Commitment to fostering an inclusive and welcoming culture.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 1-10 employees