Shire Jobs

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Select a Shipping Address, Rochester, New York, United States of America, 14627

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910402 United Business Office

Grade:

UR URGA 104 H

Compensation Range:

$18.50 - $24.71

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.

Responsibilities:

With minimum direction, serves as the lead contact at the department level for two or more of the following functions: billing, payment posting, charge entry, accounting, coding compliance, and/or patient inquiries. Responsible for assigning and reviewing daily operations for these functions. Trains new employees and monitors quality and quantity of work performed in the department.Schedule 8AM-4:30PM Responsibilities Summary The Specialty A/R associate will handle all functions associated with the resolution of an exclusive set of complex accounts. The tasks in specialty billing will be workflow driven and the associate will be expected to research, retain and make suggestions to optimize key performance in collections in this area. Resolves system edits; unpaid and denied insurance/client accounts, resulting in payment or resolution of the outstanding claim. The Specialty A/R associate will utilize MFG and/or payer billing software and will adhere to documented policies, procedures and workflows related to billing and collection. Key Functions and Expected Performances With general direction of the Manager and with latitude for initiative and judgment: 40% Utilizes A/R experience and knowledge of billing software system, third party payer requirement and insurance regulation to resolve complex accounts in specialty billing. Researches and makes suggestions to optimize key performance in the resolution of Pre-A/R and Accounts Receivable. Prioritizes work queues efficiently and effectively based on the designated workflow. 30% Researches claims, identify problems and take appropriate action to assure claim resolution. Recognize trends within various areas of specialized billing and bring forth suggestions/solutions to the problem working with other teams and/or the department when necessary. 10% Follows up on 'non-routine' denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic claims submission, etc. Communicates with insurance representatives through telephone calls, payer website, and in written communication Mails paper claims with appropriate attachments when needed (insurance EOB, medical records, etc.). Ensures additional documentation and/or information is provided for claims. 10% Prepares reports for management to document recurring problems and identifies the source of reimbursement delays. Works closely with management to ensure effective communication to resolve invoice payment delays. 5% Verifies correct patient demographic information, guarantor account and completes insurance pre-verification utilizing payer website. The Specialty AR associate will communicate any missing/incomplete information to their manager to if a charge is lacking any information to be sent out correctly. 5% Completes special projects as assigned. Qualifications: - Required: - - - Associates Degree and 4-5 years of professional medical claims billing and collecting experience; or equivalent combination of education and/or experience - - Demonstrated organizational and problem-solving skills - - Effective written and verbal communication skills - - - Preferred:- - - Strong working knowledge of the professional billing software applications - - Strong analytical skills - - Knowledge of Microsoft Office programs (Word, Excel etc.) - - 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.

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Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.

If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals

At the University of Rochester, we commit to diversity, equity, and inclusion and united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.