Lead Ins Collections Specialist

Rochester, NY

Responsibilities

Position Summary:

Is responsible for the overall management and of the UDFG Clinton Crossings accounts receivable, both insurance and self-pay balances. Works directly with the Dental Central Billing Office to ensure the timeliness of claims filing, statement production and other related duties. Provides direction and support for planning, developing and training of Clinton Crossings staff on all billing activities and acts as a liaison between Clinton Crossings and the Dental Central Billing Office. Recommends goals and objectives for billing processes.

Supervision and Direction Exercised: Responsible for monitoring own performance on assigned tasks against procedural standards. Self-directed. Must make complex decisions independently and provide structured direction to front end staff to achieve desired outcomes. Responsible for working with Practice Administrator, Sr. Administrator and Dental Central Billing Office to ensure account accuracy and resolution of account balances in a timely manner.

Typical Duties:

  1. Serves as a focal point for answering questions and solving problems for difficult accounts, assists in problem identification, quantification, and resolution. Reviews status of aged, high dollar accounts and makes appropriate follow up with administration, provider, DCBO or patient/parent to resolve account issues. 20%

  2. Performs collection and insurance related activities for Clinton Crossings Faculty Practice patient accounts utilizing existing front end staff for projects dealing with lower dollar accounts. 20%

  3. Seeks continued improvements in collection process by monitoring upfront collections and treatment planning processes with treatment coordinators, providers, DCBO and front end staff. 15%

  4. Develops related collection policies and procedures. Writes new procedures and updates existing procedures as needed. 10%

  5. Performs quality assurance monitoring for activities completed as well of other areas that affect it; using specific criteria, measures quality, quantity and timeliness of tasks performed; prepares related logs and management reports; prepares daily, weekly and monthly productivity and management reports. 10%

  6. Coordinates activities of the area; trains and cross-trains employees within the area to perform billing, collection and financial counseling activities. Implement and teach billing process to staff keeping training and procedural documentation current. 10%

  7. On an exception basis, handles patient complaints and inquires, including correspondence; assures that patients are given prompt, courteous attention, in person, by telephone or by letter. 10%

  8. Serves as a liaison between immediate area and others - DCBO and Axium; confers with third-party representatives on a routine and as needed basis, attends internal and external meetings and seminars. 5%

  9. Coordinates special projects as assigned by Division Chair or Sr. Administrator. Other duties as assigned by the Operations Administrator. N/A

Qualifications:

Associate's Degree in Business Administration or Personnel Management or 3 years of related collection experience with 1 year of demonstrated leadership experience; or an equivalent combination of education and experience. Prefer medical terminology experience.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion 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 status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $19.00 - $26.44 Hourly

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.

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Location: Eastman Dental Center
Full/Part Time: Full-Time
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