University of Rochester Advancement · 2 days ago
Billing Representative III
135 Corporate Woods Suite 150
Full-time
Onsite
Mid Level
$18.65/hr - $26.11/hr
3+ years expThe University of Rochester is committed to fostering an inclusive community and is seeking a Billing Representative III. This role involves performing charge review and claim edit resolution functions, ensuring accurate data management, and facilitating effective claim submissions to maximize revenue collection.
Higher Education
Responsibilities
Performs charge review and claim edit resolution functions for rendered services from an inpatient or outpatient setting, including updating data at transaction, charge review session or claim and registration levels
Verifies accuracy and completeness of demographics, insurance, procedure code and modifier and diagnosis code information
Identifies key issues and patterns from partial/conflicting data
Responsible for an effective claim submission process to obtain maximum revenue collection
May act as an informal resource for colleagues with less experience
Serves as a resource for answering questions and solving problems for difficult and unusual accounts
Assists in problem identification, quantification, and resolution
Assists in performing collection activities to ensure coverage during staff absences or as needed
Performs quality assurance monitoring for activities completed in area of immediate responsibility, as well of other areas that affect it, using specific criteria, measures quality, quantity and timeliness of tasks performed
Prepares related logs and management reports
Provides leadership with input regarding new procedures and updates to existing procedures as needed
Prepares daily, weekly, and monthly productivity and management reports
Handles patient complaints and inquiries, including correspondence
Ensures patients are given prompt, courteous attention, in person, by telephone or by letter
Serves as a liaison between immediate area and others in office and hospital
Coordinates activities of outside collection agents
Confers with third-party representatives on a routine and as needed basis and attends external third-party meetings and seminars
Other duties as assigned
Qualification
Required
Associate's degree and 3 years of relevant experience required
Or equivalent combination of education and experience
Company
University of Rochester Advancement
The University of Rochester, one of the nation’s top private research universities, has built a national caliber advancement program in support of the largest campaign in the University’s history.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase