Payer Receivable Coordinator

Rochester Regional Health; United States; On-site; USD 27,000 - 34,000; Full time

Job summary

Rochester Regional Health is seeking a Payer Receivable Coordinator to assist leadership in overseeing daily billing operations at the Riedman Campus in Rochester, NY. The role includes assigning and monitoring work to maximize collections and analyzing receivables for workflow improvements.

The position requires 1 year of related healthcare or customer service experience, strong communication, and proficiency with payer systems and coding. Full-time daytime schedule, 40 hours per week.

Qualifications

• Proficient working knowledge of assigned receivable systems.
• 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 payer requirements.
• Proficiency in MS Office (Excel, Word, PowerPoint) and common office equipment.
• Excellent problem solving, organizational and written communication skills.
• Ability to multi-task in a fast-paced setting and prioritize tasks.

Responsibilities

• Oversee daily billing operations in collaboration with leadership.
• Support new, temporary, and outsourced staff.
• Provide feedback on team performance to leadership.
• Interact with HIM, Revenue Integrity and FERC to resolve billing issues.
• Coordinate timely completion of special billing projects.
• Crosstrain on multiple billing platforms as needed.
• Research and respond to internal and external inquiries professionally.
• Identify potential billing compliance issues and inform leadership.
• Assist in coordinating new services and practices.
• Participate in process improvement committees.

Skills

Payer systems knowledge

Payer contracts & reimbursement

Medicare/Medicaid knowledge

ICD-9 CPT/HCPCS codes

MS Office proficiency

Communication skills

Multi-tasking in fast-paced setting

Analytical/problem solving

Job description

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

$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.

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.