Medical Billing Collections Jobs in Rochester, NY

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Job Location (Full Address):

905 Elmgrove Rd, Rochester, New York, United States of America, 14624

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910401 Patient Self-Pay Services

Work Shift:

UR - Day (United States of America)

Range:

UR URCC 204 H

Compensation Range:

$19.72 - $26.62

Responsibilities:

With latitude for initiative and independent judgment within department guidelines, the position is responsible for managing inpatient/outpatient accounts from the beginning of the billing period through the accurate resolution of the account. Collection activities will focus on self pay accounts. Activities performed will focus on resolving balances, referral for collection activity, presumptive financial assistance, and working reports to ensure that billing is generated timely to the patient. Makes independent decisions as to the processes necessary to collect and resolve billing issues. Maintain a detailed knowledge of billing requirements and regulations (including the Fair Credit Debt Collection Practices Act) to ensure that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH), Highland Hospital and Medical Faculty Group (MFG) in a professional manner, protecting confidentiality of patient information at all times.

Location: Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are required. Remote location must be within 2 hours of RTP and within New York State.

ESSENTIAL FUNCTIONS

Acts as a collection agency liaison to make certain accounts are following the self-pay cycle, terms of contract are being adhered to and service levels are being met which includes but is not limited to:

• Monitors collection agency referrals/assignments and return files

• Reviews and processes collection agency Invoices/Remits
• Reviews and resolves discrepancies related to collection agency reconciliation files
• Reviews and responds to collection agency correspondence, inquiries, questions, etc.
• Reviews and responds to Settlement Offers on collection agency accounts

Review incoming correspondence from both internal and external customers regarding outstanding balances based on a dollar threshold to resolve balances by making further recommendations related to the following:

• Bankruptcy filings and resolution
• Estate Claim verification
• Presumptive financial assistance
• Other recommendations to resolve account

Review and resolve credit balances related to self pay accounts to decrease the amount of credit balances currently in the self pay receivables. This includes but is not limited to:

• Reviewing patient accounts for Strong Memorial Hospital, Highland Hospital and Medical Faculty Group for outstanding credit transfers
• Creating appropriate refund spreadsheets to have patient refunds transfer
• Transfer payments between visits
• Transfer balances between plans to resolve off-setting balances

Receive incoming inquiries from both internal and external customers and work to complete necessary follow up activities which may include:

• Initiating insurance billing
• Explaining the balances shown on a patient statement and the processes for further review
• Advising about payment options
• Working with other areas to determine accuracy of balances shown

Acts as a back-up for other Self-Pay duties to provide cross coverage which includes but is not limited to:

• Self Pay Workqueues
• Unbilled Cash Claims
• Self Pay plans not final billed
• Hold Bill Worklists
• Statement Edits
• Self Pay > $10,000
• Faith Based Reports
• Budget Plans
• Insurance billing

MINIMUM EDUCATION & EXPERIENCE

• Associate's degree in Business Administration
• 2 years of hospital patient accounting or consumer collections experience, or certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and experience.

KNOWLEDGE, SKILLS AND ABILITIES

• Ability to use 10 key adding machine and type 25 wpm.
• Working knowledge of Microsoft Word and Excel and a general knowledge of researching information via using the web.

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