Registration&Insur Mgt Rep III

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):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910399 Registration & Insurance Mgmt

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 205 H

Compensation Range:

$20.30 - $27.41

Responsibilities:

Performs the functions of patient account management for individuals receiving services. Completes the tasks of insurance verification, obtaining precertification, completing credit statements, making payments plans, requesting deposits, initiating referrals to sponsorship programs. Coordinates account management through discharge and forwards accounts to the patient accounting office.

ESSENTIAL FUNCTIONS

• 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 of benefits throughout all inpatient stays. Obtains any signatures required to obtain verification and secure benefits.
• 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.
• 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.
• Interviews responsible parties to determine credit status as a tool for securing patient accounts. Verifies information collected. Maintains confidentiality of all patient information.
• 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.
• 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.
• Discusses pending admissions with physicians and their office staff to ensure proper information is received.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• High School diploma or equivalent and 4 years of experience in patient accounts related area required
• Bachelor's degree preferred
• Or equivalent combination of education and experience

The University of Rochester 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. 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 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.