Registration&Insur Mgt Rep III
About The Position
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. Performs the functions of patient account management for individuals receiving services. Completes the tasks of insurance verification, obtaining precertification, completing credit statements, making payments plans, requesting deposits, initiating referrals to sponsorship programs. Coordinates account management through discharge and forwards accounts to the patient accounting office.
Requirements
- High School diploma or equivalent and 4 years of experience in patient accounts related area required
- Or equivalent combination of education and experience
Nice To Haves
- Bachelor's degree preferred
Responsibilities
- Initiates appropriate contact with third-party payors to verify insurance benefits of patients.
- Documents information in an accurate and timely manner in the hospital computer system.
- Maintains a monitoring system of benefits throughout all inpatient stays.
- Obtains any signatures required to obtain verification and secure benefits.
- Informs patients of hospital financial policies.
- Establishes payment plans for patients according to these policies using results of credit statements.
- Assists patients in identifying resources to be used to meet their hospital obligation.
- Serves as an information channel for obtaining pre-certification approvals for elective and other inpatient stays, as required by third-party payors.
- Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed.
- Interviews responsible parties to determine credit status as a tool for securing patient accounts.
- Verifies information collected.
- Maintains confidentiality of all patient information.
- Exercises knowledge of sponsorship programs available to patients.
- Initiates the application process, including completing forms and scheduling appointments, based on results of credit statements and account history evaluations.
- Calculates deposit requirements for patients using knowledge of credit policy and hospital charges.
- Informs patients of deposit and requests payments.
- Coordinates collection of deposit amounts with Admitting Officers and Cashiers.
- Discusses pending admissions with physicians and their office staff to ensure proper information is received.
- Other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
