Clm Resltion Rep II, Hosp/Prv at University of Rochester | NY, US | Rezi

Clm Resltion Rep II, Hosp/Prv at University of Rochester

Clm Resltion Rep II, Hosp/Prv

University of Rochester · NY, US

Today

Clm Resltion Rep II, Hosp/Prv

University of Rochester · NY, US

15 hours ago
Resume preview

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

This role focuses on performing follow-up activities to ensure open account receivables are brought to successful closure, aiming for maximum revenue collection through effective claims follow-up.

Responsibilities

  • Performs follow-up activities designed to bring all open account receivables to successful closure.
  • Responsible for effective claims follow-up to obtain maximum revenue collection.
  • Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims.
  • Resolves moderately complex claims.
  • Edits and reviews In-Patient and Out-Patient accounts to ensure completion, accuracy, and reflect the particular patient's financial responsibility.
  • Interviews patients and/or responsible parties, exercising tact and judgment.
  • May establish financial arrangements for charges.
  • Processes commercial insurance claims when applicable.
  • Refers to collectors for payment arrangements, if appropriate.
  • Retains responsibility for patient bills until paid in full.
  • Edits follow-up bills and makes contact with responsible parties when necessary to ensure complete satisfaction of the account.
  • May coordinate and/or train lower level staff as required.
  • Performs other duties as assigned.

Requirements

  • High School diploma and 2 years of related work experience required.
  • Equivalent combination of education and experience is acceptable.

Location

  • Rochester, New York, United States of America
  • Remote options available after in-person training
  • Remote location must be within 2 hours of RTP and within New York State

Work Type

  • Full time
  • Remote
  • Onsite (for training and occasional meetings)

Education Level

  • High School diploma

Salary/Compensations

  • $19.72 - $26.62 per hour

About the Company

  • 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.
  • The University is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better.

Equal Opportunity

  • 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 characteristic protected by federal, state, or local law (Protected Characteristics).
  • This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.