Self-Pay Collection Rep II

University of Rochester; Rochester (MN); On-site; USD 27,000 - 37,000; Full time

Job summary

University of Rochester is seeking a detail-oriented professional to maintain patient account records, resolve self-pay balances, and support the billing process at the 905 Elmgrove Rd location in Rochester, NY. The role focuses on accurate self-pay handling, insurance billing initiation, and customer follow-up to ensure timely payments.

The candidate should have an Associate’s degree with 2 years of related experience or an equivalent combination of education and experience.

Qualifications

• Associate’s degree and 2 years of relevant experience.
• Or equivalent combination of education and experience.

Responsibilities

• Maintains account records, such as payments, rebates, and reversals, and may set up alternative pay plans.
• Reviews reports of unbilled cash claims, self-pay plans not final billed, hold bill worklists, statement edits, credit balances, self-pay greater than $10,000, faith-based reports, and budget plans.
• Works reports and work lists as needed to decrease the amount of unbilled self-pay visits and ensure timely billing to patients.
• Reviews and resolves credit balances related to self-pay accounts to decrease the amount of credit balances currently in the self-pay receivables.
• Receives incoming patient inquiries and completes necessary follow up activities based on the inquiry received from internal and external customers.
• Initiates outgoing calls to customers regarding outstanding balances based on a dollar threshold and resolves these balances by making further recommendations for collection agency referral, presumptive financial assistance, insurance billing, and other recommendations to resolve accounts.
• Acts as backup for the collection agency liaison to provide cross coverage, including estate claim verification, settlement offers for collection agency accounts, bankruptcy filings and resolution, and review of disputes from collection agency referrals.
• Other duties as assigned.

Education

Associate’s degree

Equivalent combination of education and experience

Job description

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

Maintains account records, such as payments, rebates, and reversals, and may set up alternative pay plans. May also be responsible for reviewing and resolving third party payer issues.

ESSENTIAL FUNCTIONS

• Reviews reports of unbilled cash claims, self-pay plans not final billed, hold bill worklists, statement edits, credit balances, self-pay greater than $10,000, faith-based reports, and budget plans. Works reports and work lists as needed to decrease the amount of unbilled self-pay visits and ensure timely billing to patients. Ensures all hold bills are resolved within 30 days of hold.
• Reviews and resolves credit balances related to self-pay accounts to decrease the amount of credit balances currently in the self-pay receivables. Reviews patient accounts for outstanding credit transfers. Creates appropriate refund spreadsheets to have refunds transferred, transfers payments between visits, and transfers balances between plans to resolve off-setting balances.
• Receives incoming patient inquiries and completes necessary follow up activities based on the inquiry received from internal and external customers. Completes follow up, including initiating insurance billing, explaining the balances shown on a patient statement and the processes for further review, advising callers about payments options, and working with other areas to determine accuracy of balances shown.
• Initiates outgoing calls to customers regarding outstanding balances based on a dollar threshold and resolves these balances by making further recommendations for collection agency referral, presumptive financial assistance, insurance billing, and other recommendations to resolve accounts.
• Acts as backup for the collection agency liaison to provide cross coverage, including estate claim verification, settlement offers for collection agency accounts, bankruptcy filings and resolution, and review of disputes from collection agency referrals.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• Associate’s degree and 2 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.