Self-Pay Collection Rep II

University of Rochester • Rochester, NY

87d • $18 - $25

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.

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.
• 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.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree
• Number of Employees: 1-10 employees