Revenue Cycle Coordinator III - Pharmacy

University of Rochester•City of Rochester, NY

10d•$21 - $28•Onsite

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. Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals. At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.

Requirements

Associate's degree and 1 year of relevant experience required
Or equivalent combination of education and experience

Responsibilities

Plans, organizes and conducts operations that affect the revenue cycle, such as billing, collections, and payment processing.
Recommends and implements processes to meet revenue cycle goals in collaboration with medical practices.
Conducts related training, monitoring, analysis and reporting on revenue cycle processes and results.
Recommends and implements practice-specific process improvement recommendations.
Resolves accounts on work queues relevant to the area.
Researches accounts held from billing and reviews flagged accounts and research documentation to ensure accuracy.
Takes appropriate system actions on accounts based on billing guidelines and record research.
Posts electronic files, self-pay payments, third-party commercial payments, reverse charge off accounts sent to the collection agency, manual insurance payments, denials, credit card payments and authorization.
Processes patient refunds, as needed.
Responds to incoming questions and solves problems for difficult and unusual accounts.
Troubleshoots problem identification, quantification, and resolution.
Assists with the development of monthly schedule, outlining individual duties and responsibilities, including but not limited to, electronic file processing, manual payment posting, refunding, Self-Pay and CC Payments.
Enters problems, employee errors, transactions and questions into respective databases and follows issues through to resolution.
Provides support regarding payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance reports issued by external partners.
Reconciles client billing on a monthly basis.
Assists with credit balance work queues as needed.
Recommends improvements to policies and procedures.
Assists with the review of existing policy and procedure manuals.
Other duties as assigned.