University of Rochester Patient Financial Rep in Rochester, New York


Full Time 40 hours Grade 008 Ortho Billing, Collections


8 AM-4:30 PM


Position Summary:

Performs the functions of patient account management for individuals receiving services at SMH. Complete the tasks of insurance verification, obtaining precertification, completing credit statements, making payments plans, requesting deposits, initiating referrals to sponsorship programs. Responsible for knowledge and application of the hospital's financial and credit policies. Coordinates account management through discharge and forwards accounts to the patient accounting office.

Typical Duties:

Insurance verification: Initiates appropriate contact with third-party payors to verify insurance benefits of patients. Documents information in an accurate and timely manner in the hospital computer system. Maintains a monitoring system on benefits throughout all inpatient stays. Obtains any signatures required to obtain verification and secure benefits.

Payment plans: Informs patients of hospital financial policies. Establishes payment plans for patients according to these policies using results of credit statements. Assists patients in identifying resources to be used to meet their hospital obligation.

Pre-certification: Serves as an information channel for obtaining pre-certification approvals for elective and other inpatient stays as required by third-party payors. Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed.

Credit statements: Interviews responsible parties to determine credit status as a tool for securing patient accounts. Verifies information collected. Maintains confidentiality of all patient information.

Sponsorship referrals: Exercises knowledge of sponsorship programs available to patients. Initiates the application process including completing forms and scheduling appointments based on results of credit statements and account history evaluations.

Deposits: Calculates deposit requirements for patients using knowledge of credit policy and hospital charges. Informs patients of deposit and requests payments. Coordinates collection of deposit amounts with Admitting Officers and Cashiers.

Physician relationships: Discusses pending admissions with physicians and their office staff to assure proper information is received.

Other duties: Performs miscellaneous tasks as assigned by supervisor. For example, statistical reports, supplies stocking, correspondence and records maintenance.


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: Patient Financial Rep

Location: Medical Faculty Group

Job ID: 207107

Regular/Temporary: Regular

Full/Part Time: Full-Time