University of Rochester, located on the banks of the Genesee River in Rochester, New York, is a four-year private institution of higher learning that has offered educational opport
Registration and Insurance Management Representative III
Location
United States
Posted
2 days ago
Salary
$20 - $27 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Registration and Insurance Management Representative III
University of Rochester
Role Description 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. Responsibilities: - Performs the functions of patient account management for individuals receiving services. - Completes tasks of insurance verification, obtaining precertification, completing credit statements, making payment plans, requesting deposits, and 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 meet their hospital obligation. - Serves as an information channel for obtaining pre-certification approvals for elective and other inpatient stays. - 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 and maintains confidentiality of all patient information. - Exercises knowledge of sponsorship programs available to patients. - Initiates the application process, including completing forms and scheduling appointments. - 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. Qualifications - 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. Requirements - 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. - 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.
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