University of Rochester Medical Claims Follow Up Specialist - 226920 in Rochester, New York
Medical Claims Follow Up Specialist Job ID 226920Location Medical Faculty Group Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening
Full Time 40 hours Grade 008 United Business OfficeSchedule
8 AM-4:30 PMResponsibilities
The Lead is responsible for working within specific functions within the professional fee organization, providing leadership within team and assisting in guiding the actions of staff. Responsible for providing guidance and direction for staff in the absence of a supervisor, resolving simple and complex questions and providing performance feedback to supervisors and managers. The Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision.
Key Functions and Expected Performances
With general direction of the Manager and in addition to the duties outlined for their specific functional assignment:
30% Supports priorities assigned by Supervisor and/or Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager.
25% Understands and interprets insurance Explanations of Benefits (EOBS)s and researches and resolves complex claims. Makes any corrections in the practice management system necessary to ensure maximum reimbursement for all URMFG physician services. Utilizes available resources to identify reasons for payment discrepancies
20% Identifies and escalates issues and trends to management. Assists in recommending solutions to resolve issue and improve operations. Facilitates staff training on new processes or identified quality issues.
15% Provides performance feedback to supervisors and managers for staff. Works with management on any process changes and impacts to staff.
10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development.
May perform other duties as assigned.
Associates Degree and 3 years of related relevant experience; or equivalent combination of education and/or experience
Demonstrated organizational and problem-solving skills
Effective written and verbal communication skills
Strong working knowledge of the professional billing software applications
1 year of professional billing leadership experience
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)
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled