Insurance Collection Rep III

University of Rochester; City of Rochester (NY); On-site; USD 28,000 - 39,000; Full time

Job summary

The University of Rochester is seeking a Billing Specialist to resolve aged insurance accounts and manage receivables. The role requires handling communications with insurance representatives, researching unresolved items with payers, and maintaining detailed documentation for auditors and internal teams.

Qualified candidates typically have an Associate's degree and 2 years of hospital patient accounting or consumer collections experience, with strong knowledge of medical billing procedures.

Qualifications

• Associate's degree required. Two years of hospital patient accounting or consumer collections experience preferred.
• Experience in hospital patient accounting or consumer collections is desirable.
• Familiarity with medical billing procedures and insurance handling is a plus.

Responsibilities

• Resolves unpaid insurance accounts which have not been paid or rejected within a predetermined period and are impeding the prompt resolution of Accounts Receivable.
• Contacts via correspondence, telephone or meeting with insurance representatives to collect or resolve accounts.
• Researches, identifies, and contributes to resolution if unable to resolve with third-party insurance; collaborates with internal payer contracting department and/or files an appeal.
• Documents all actions for both patient and University personnel and interacts with ancillary areas to secure needed assistance and documentation to meet insurers requirements.
• Maintains a detailed knowledge of insurance regulations and billing procedures affecting Accounts Receivable, to rebill accounts correctly.
• Responds to written and verbal inquiries.
• Maintains records for effective reporting on daily and weekly basis.
• Other duties as assigned.

Skills

Accounts receivable

Medical billing

Communication

Education

Associate's degree

Job description

135 Corporate Woods Suite 150

Full time

R273047

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 105 H

Compensation Range:

$20.34 - $28.51

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:

Resolves aged insurance accounts which have not been collected through billing and routine follow-up activities. Assesses payment probability to determine appropriate collection technique.

ESSENTIAL FUNCTIONS

• Resolves unpaid insurance accounts which have not been paid or rejected within a predetermined period and are impeding the prompt resolution of Accounts Receivable. Contacts via correspondence, telephone or meeting with insurance representatives.
• Researches, identifies, and contributes to resolution if unable to resolve with third-party insurance. Collaborates with internal payer contracting department and/or files an appeal.
• Documents all actions for both patient and University personnel and interacts with ancillary areas to secure needed assistance and documentation to meet insurers requirements.
• Maintains a detailed knowledge of insurance regulations and billing procedures which affect Accounts Receivable, so as to rebill accounts correctly.
• Responds to written and verbal inquiries.
• Maintains records for effective reporting on both daily and weekly basis.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• Associate's degree and 2 years of hospital patient accounting or consumer collections experience required
• Or equivalent combination of education and experience

LICENSES AND CERTIFICATIONS

• Certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS) preferred

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.

Learn. Discover. Heal. Create.

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.