University of Rochester Financial Counselor in Rochester, New York

Opening

Full Time 40 hours Grade 008 Ortho Billing, Collections

Schedule

7 AM-7 PM

Responsibilities

Position Summary:

The Financial Counselor will perform the functions of Patient Account Management for individuals receiving care from the University of Rochester Medical Center. The Financial Counselors will be responsible for responding to inquiries from patients and their advocates related to accounts within the Flowcast system and across the Enterprise. The position requires a broad knowledge base about medical billing, rules and regulations of third party billing, and the complexities of multi-specialty, Primary Care and Dental billing. In addition, the position requires experience among the billing systems, Flowcast and HBOC, to interpret and respond to questions and issues. The position requires a competency level in the use of verification and third party and government billing systems.

Responsibilities:

With general direction of the Patient Services Management Team and with latitude for initiative and judgment:

Incoming Patient Inquiries

  • Receive incoming calls from both internal and external customer regarding billing issues, in a timely and customer friendly manner.
  • Receive incoming calls regarding outstanding balances as a result of statements sent.
  • Perform review and research procedures on billing issues on patient accounts.
  • Verify and update demographic and insurance information.
  • Initiate insurance billing either electronically or via the use of the Electronic Work file transfer process within the Flowcast system for accounts classified as Self-Pay in error.
  • Identify and verify coverage under the government health insurance programs.
  • Create Budget payment plans for those callers in need.
  • Advise callers about insurance and payment options in order to secure revenue for Strong Health and the Strong enterprise in general.

Outgoing Patient Calls

  • Initiate outgoing calls to customers regarding outstanding balances, in a timely and customer friendly manner.
  • Receive incoming calls regarding outstanding balances as a result of collection letters sent.
  • Perform review and research procedures on billing issues on patient accounts.
  • Verify and update demographic and insurance information.
  • Initiate insurance billing either electronically or via the use of the Electronic Work file transfer process within the Flowcast system for accounts classified as Self-Pay in error.
  • Identify and verify coverage under the government health insurance programs.
  • Create Budget payment plans for those callers in need.
  • Advise callers about insurance and payment options in order to secure revenue for Strong Health and the Strong enterprise in general.

Work File Maintenance

  • Pre-Verification on Surgical booking Sheets to verify coverage is active and effective, if deductible and OOP have been met.
  • Create and follow ticklers on research issues.
  • Track and trend billing and provider issues.
  • Using best judgment under set procedures, alert management team to issues not completed within specified timeframes.

Qualifications:

  • High school graduate with 4 years experience in patient accounts related area or Bachelor's degree with at least 1 year of related experience or equivalent combination of education and experience.
  • Ability to use 10 key adding machine and type 25 wpm.

EOE Minorities/Females/Protected Veterans/Disabled

Job Title: Financial Counselor

Location: Medical Faculty Group

Job ID: 212853

Regular/Temporary: Regular

Full/Part Time: Full-Time