Patient Medical Biller III
: Job Details :

Job Posting

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.

Job Location (Full Address): 135 Corporate Woods, Ste 150, Rochester, New York, United States of America, 14623

Opening: Worker Subtype: Regular

Time Type: Full time

Scheduled Weekly Hours: 40

Department: 920706 Dentistry Central Billing

Work Shift: UR - Day (United States of America)

Range: UR URG 104 H

Compensation Range: $18.65 - $26.11

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities

General Purpose: Performs charge review and claim edit resolution functions for rendered services from an inpatient or outpatient setting, including updating data at transaction, charge review session or claim and registration levels. Verifies accuracy and completeness of demographics, insurance, procedure code and modifier and diagnosis code information. Identifies key issues and patterns from partial/conflicting data. Responsible for an effective claim submission process to obtain maximum revenue collection. May act as an informal resource for colleagues with less experience.

Essential Functions:

• Serves as a resource for answering questions and solving problems for difficult and unusual accounts.
• Assists in problem identification, quantification, and resolution.
• Assists in performing collection activities to ensure coverage during staff absences or as needed.
• Performs quality assurance monitoring for activities completed in area of immediate responsibility, as well of other areas that affect it, using specific criteria, measures quality, quantity and timeliness of tasks performed.
• Prepares related logs and management reports.
• Provides leadership with input regarding new procedures and updates to existing procedures as needed.
• Prepares daily, weekly, and monthly productivity and management reports.
• Handles patient complaints and inquiries, including correspondence.
• Ensures patients are given prompt, courteous attention, in person, by telephone or by letter.
• Serves as a liaison between immediate area and others in office and hospital.
• Coordinates activities of outside collection agents.
• Confers with third-party representatives on a routine and as needed basis and attends external third-party meetings and seminars.

Other duties as assigned.

Minimum Education & Experience:

• Associate's degree and 3 years of relevant experience required
• Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.