Self-Pay Collection Rep

University of Rochester; City of Rochester (NY); Híbrido; USD 27.000 - 37.000; Jornada completa

Descripción de la vacante

The University of Rochester in Rochester, NY seeks a Collections Representative to manage inpatient and outpatient self-pay accounts from the start of the billing period through final resolution, focusing on balances, refunds, and referrals for collections. Independent judgment within department guidelines is required.

You will maintain knowledge of billing rules (FDCPA, etc.), work with Strong Memorial Hospital, Highland Hospital and MFG, handle inquiries, explain balances, and coordinate with

Formación

• Associate's degree in Business Administration.
• 2 years of hospital patient accounting or consumer collections experience, or certification in CMBS/CMRT/CMRS, or equivalent.

Responsabilidades

• Manage inpatient and outpatient self-pay accounts from the start of the billing period through final resolution.
• Focus on balances, refunds, and referrals for collection activity.
• Make independent decisions on processes to collect and resolve billing issues.
• Maintain knowledge of billing requirements and regulations (FDCPA) to ensure compliance.
• Represent the department and UR SMH, Highland Hospital and MFG professionally, protecting patient confidentiality.
• Respond to inquiries and explain billing balances and payment options.

Conocimientos

10-key

25 wpm

MS Word

MS Excel

Educación

Associate's degree in Business Administration

Descripción del empleo

Hybrid

Rochester Technology Park

Full time

R269377

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):

905 Elmgrove Rd, Rochester, New York, United States of America, 14624

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910401 Patient Self-Pay Services

Work Shift:

UR - Day (United States of America)

Range:

UR URCC 204 H

Compensation Range:

$19.72 - $26.62

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:

With latitude for initiative and independent judgment within department guidelines, the position is responsible for managing inpatient/outpatient accounts from the beginning of the billing period through the accurate resolution of the account. Collection activities will focus on self pay accounts. Activities performed will focus on resolving balances, referral for collection activity, presumptive financial assistance, and working reports to ensure that billing is generated timely to the patient. Makes independent decisions as to the processes necessary to collect and resolve billing issues. Maintain a detailed knowledge of billing requirements and regulations (including the Fair Credit Debt Collection Practices Act) to ensure that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH), Highland Hospital and Medical Faculty Group (MFG) in a professional manner, protecting confidentiality of patient information at all times.

Location

Rochester Tech Park (RTP), Gates, NY - Remote options available after in‑person training. Occasional onsite meetings / work at RTP are required. Remote location must be within 2 hours of RTP and within New York State.

ESSENTIAL FUNCTIONS

Acts as a collection agency liaison to make certain accounts are following the self‑pay cycle, terms of contract are being adhered to and service levels are being met which includes but is not limited to:

• Monitors collection agency referrals/assignments and return files
• Reviews and processes collection agency Invoices/Remits
• Reviews and resolves discrepancies related to collection agency reconciliation files
• Reviews and responds to collection agency correspondence, inquiries, questions, etc.
• Reviews and responds to Settlement Offers on collection agency accounts

Review incoming correspondence from both internal and external customers regarding outstanding balances based on a dollar threshold to resolve balances by making further recommendations related to the following:

• Bankruptcy filings and resolution
• Estate Claim verification
• Presumptive financial assistance
• Other recommendations to resolve account

Review and resolve credit balances related to self pay accounts to decrease the amount of credit balances currently in the self pay receivables. This includes but is not limited to:

• Reviewing patient accounts for Strong Memorial Hospital, Highland Hospital and Medical Faculty Group for outstanding credit transfers
• Creating appropriate refund spreadsheets to have patient refunds transfer
• Transfer payments between visits
• Transfer balances between plans to resolve off-setting balances

Receive incoming inquiries from both internal and external customers and work to complete necessary follow up activities which may include:

• Initiating insurance billing
• Explaining the balances shown on a patient statement and the processes for further review
• Advising about payment options
• Working with other areas to determine accuracy of balances shown

Acts as a back‑up for other Self‑Pay duties to provide cross coverage which includes but is not limited to:

• Self Pay Workqueues
• Unbilled Cash Claims
• Self Pay plans not final billed
• Hold Bill Worklists
• Statement Edits
• Self Pay > $10,000
• Faith Based Reports
• Budget Plans
• Insurance billing

MINIMUM EDUCATION & EXPERIENCE

• Associate's degree in Business Administration
• 2 years of hospital patient accounting or consumer collections experience, or 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); or an equivalent combination of education and experience.

KNOWLEDGE, SKILLS AND ABILITIES

• Ability to use 10 key adding machine and type 25 wpm.
• Working knowledge of Microsoft Word and Excel and a general knowledge of researching information via using the web.

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.

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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.