Payer Receivable Coordinator

Rochester Regional Health; City of Rochester (NY); Presencial; USD 27 000 - 34 000; Tempo integral

Resumo da oferta

Rochester Regional Health is seeking a Payer Receivable Coordinator to support the Hospital & LTC Billing team at the Riedman Campus in Rochester, NY. This full-time, day-shift role focuses on overseeing daily billing operations, guiding staff, and improving workflows to maximize collections.

Responsibilities include collaborating with HIM, Revenue Integrity and other departments, coordinating special projects, and maintaining accurate receivable information.

Qualificações

• Proficiency with receivable systems and billing platforms.
• Understanding of payer contracts and reimbursement methodologies.
• Knowledge of Medicare, Medicaid, and insurance compliance.
• Familiarity with ICD-9 diagnosis, CPT/HCPCS codes.
• Proficient in Microsoft Office (Excel, Word, PowerPoint).
• Excellent problem solving, organizational and communication skills.

Responsabilidades

• Oversee daily billing operations in collaboration with leadership.
• Support onboarding of new, temporary, and outsourced staff.
• Provide feedback to leadership on team issues and performance.
• Collaborate with HIM, Revenue Integrity, and other departments to resolve billing issues.
• Coordinate timely completion of special billing projects to meet goals.
• Cross-train on multiple billing platforms as needed.
• Research and respond to internal and external questions professionally.
• Identify potential billing compliance issues and inform leadership.
• Assist in coordinating and implementing new services and lines.
• Participate in process improvement committees.

Conhecimentos

Receivable systems

Payer contracts

Medicare/Medicaid knowledge

ICD-9/CPT/HCPCS knowledge

Excel/Office

Communication

multitasking

Team player

Descrição da oferta de emprego

Job Title: Payer Receivable Coordinator Department: Hospital & LTC Billing Location: Riedman Campus, 100 Kings Highway, Rochester NY 14617 Hours Per Week: 40 Schedule: Full-Time, Day-Shift, Monday to Friday, (8 am -4:30 pm)

Position Summary: This position assists leadership in overseeing the daily operations of the billing team. In this role, the person will be responsible for managing team members by assigning and monitoring work to meet department goals, and will monitors and analyze an assigned area of receivable to identify trends and improve workflows to maximize collections.

Key Responsibilities

• Assists leadership in overseeing the daily billing operations.
• Assists leadership in supporting new, temporary, and outsourced staff.
• Provides feedback to leadership on team issues and performance.
• Interacts with various departments such as HIM, Revenue Integrity and FERC to obtain information and resolve billing issues.
• Coordinate timely and accurate completion of special billing projects identified by leadership to achieve department goals.
• Crosstrain on multiple billing platforms as needed.
• Research and respond to internal and external questions in a professional way.
• Identify potential billing compliance issues and inform leadership team.
• Assist in coordination and implementation for new services, (new MD practices, hospitals, service lines etc).
• Participate in committees focused on process improvement.

Desired Attributes

• Proficient working knowledge of assigned receivable systems.
• Have a working knowledge of payer contracts and reimbursement methodologies.
• General knowledge of Medicare, Medicaid and insurance compliance issues.
• Familiarity with ICD-9 diagnosis, procedure codes and CPT/HCPCS codes.
• Knowledge of UBO4 billing form and 1500F05 specific payer requirements.
• Proficiency in a variety of computer applications and Microsoft office (Excel, word, PowerPoint, etc.) and common office equipment.
• Excellent problem solving, organizational and oral and written communication skills.
• Excellent email and project management skills.
• Candidate must have the ability to multi-task and work in a fast-paced setting that sometimes requires direction on what items should be addressed as priority.
• Flexibility and ability to work as a team player and to handle simultaneous tasks.Successful completion of annual age and job specific competencies and skill verification tools.
• Analytical and problem solving skills are required.

Minimum Qualifications

• 1 year of related work experience in a healthcare setting or customer service

Required Licensure / Certification

• N/A

PHYSICAL REQUIREMENTS

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE

PAY RANGE: $19.50 - $25.00 CITY: Rochester POSTAL CODE: 14617 The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Equal Opportunity Statement

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

About Rochester Regional Health

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It’s vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.