University of Rochester Medical Claims Follow-Up Specialist - 225083 in Rochester, New York
Medical Claims Follow-Up Specialist
Medical Faculty Group
Full Time 40 hours Grade 008 United Business Office
8 AM-4:30 PM
Is responsible for resolving aged insurance accounts which have not been collected through billing and routine follow-up activities. Assesses payment probability to determine appropriate collection technique.
SUPERVISION AND DIRECTION EXERCISED:
Responsible for monitoring own performance on assigned tasks against procedure standards. May train and coordinate activities of peers or lower classified support staff as directed by supervisor.
MACHINES AND EQUIPMENT USED:
Standard office equipment, including but not limited to, personal computer, UR Medicine billing and accounts receivable systems, telephone, photocopy machine, 10-key adding machine, internet, payer proprietary claims inquiry and entry software.
Resolves unpaid insurance accounts which have not been paid/rejected within a predetermined period and are impeding the prompt resolution of A/R. Contacts are via correspondence, telephone or meeting with insurance representatives.
If unable to resolve insurance problem with third-party insurance for any reason (lack of cooperation, etc.): researches, identifies and contributes to resolution, collaborates with internal payer contracting department and/or files and appeal.
Documents all actions for both patient and University personnel and interact with ancillary areas to secure needed assistance/documentation to meet insurers requirements.
Maintains a detailed knowledge of insurance regulations and billing procedures which affect A/R, so as to rebill accounts correctly.
Responds to patient written and verbal inquiries.
Maintains records for effective reporting on both daily and weekly basis.
Associate's degree in Business Administration and 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.
Ability to type 25 wpm.
NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled