University of Rochester Insurance Collection Spec in Rochester, New York
Full Time 40 hours Grade 008 URMFG Business Office
8 AM-4:30 PM
The Insurance Collection Specialist is responsible for resolving unpaid or rejected insurance accounts which are not collected through routine billing and follow up to determine collection technique, resulting in probable payment. The Insurance Collection Specialist is responsible for self-monitoring performance on assigned tasks, following standard procedures and may train or coordinate activities of peers and lower level staff, as directed by the Supervising Manager.
With general direction of the Practice Operations Management Team and with latitude for initiative and judgment:
- Exercising thorough knowledge of third party billing requirements determines most effective method to follow up on unpaid insurance accounts to bring about prompt account resolution and resolution of accounts receivable.
- Initiates task completion in Enterprise Task Manager (ETM) by review of the invoice and invoice resolution by phone calls, correction of a claim – rebilling, investigation of medical documentation, addition of a modifier, etc.Prioritizes account work efficiently and effectively.
- Identifies and resolves all problems related to and collection of outstanding Accounts Receivable.
- All follow up on non-routine denied accounts received by way of remittance, correspondence, researches and identifies problems with resolutions.Resubmits claims and communicates with insurance representatives through telephone calls and in writing.
- Documents all Actions and Outcomes in ETM to ensure all information related to the invoices is available for review and subsequent follow up by other staff and/or divisional billing offices.
- Prepares reports for management to document recurring problems and identifies the source of reimbursement delays.Works closely with management to ensure effective communication to resolve invoice payment delays.
- Maintains detailed knowledge of insurance regulations and billing requirements to ensure effective follow up and collection activity.
- Completes special projects as assigned by management.
Associates degree and 2 years of hospital patient accounting or consumer collections experience; or an equivalent combination of education and experience. A candidate requires strong knowledge of physician/professional fee billing and third party billing requirements, excellent interpersonal and communication skills, and good organizational skill. Experience working with automated billing systems
Preform experience working with the Flowcast system and experience in Enterprise Task Manager workflow.
EOE Minorities/Females/Protected Veterans/Disabled
Job Title: Insurance Collection Spec
Location: Medical Faculty Group
Job ID: 201507
Full/Part Time: Full-Time