Self-Pay Collection Rep II
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 2 years of relevant experience required
- Or equivalent combination of education and experience
Responsibilities
- Maintains account records, such as payments, rebates, and reversals, and may set up alternative pay plans. May also be responsible for reviewing and resolving third party payer issues.
- Reviews reports of unbilled cash claims, self-pay plans not final billed, hold bill worklists, statement edits, credit balances, self-pay greater than $10,000, faith-based reports, and budget plans.
- Works reports and work lists as needed to decrease the amount of unbilled self-pay visits and ensure timely billing to patients. Ensures all hold bills are resolved within 30 days of hold.
- Reviews and resolves credit balances related to self-pay accounts to decrease the amount of credit balances currently in the self-pay receivables.
- Reviews patient accounts for outstanding credit transfers. Creates appropriate refund spreadsheets to have refunds transferred, transfers payments between visits, and transfers balances between plans to resolve off-setting balances.
- Receives incoming patient inquiries and completes necessary follow up activities based on the inquiry received from internal and external customers. Completes follow up, including initiating insurance billing, explaining the balances shown on a patient statement and the processes for further review, advising callers about payments options, and working with other areas to determine accuracy of balances shown.
- Initiates outgoing calls to customers regarding outstanding balances based on a dollar threshold and resolves these balances by making further recommendations for collection agency referral, presumptive financial assistance, insurance billing, and other recommendations to resolve accounts.
- Acts as backup for the collection agency liaison to provide cross coverage, including estate claim verification, settlement offers for collection agency accounts, bankruptcy filings and resolution, and review of disputes from collection agency referrals.
- Other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
