Self-Pay Resoltn Ctr Rep II

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):

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:

GENERAL PURPOSE
The Patient Financial Representative performs the functions of Patient Account Management for individuals receiving care from the University of Rochester Medical Center (URMC), Highland Hospital (HH), and University of Rochester Medical Facility Group (URMFG). The Patient Financial Representative responds to patients’ inquiries via telephone, MyChart, mail, email, and fax, concerning, but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third Party Billing rules and regulations, and the Fair Credit Debt Collection Practices Act. The Patient Financial Representative acts with compassion and empathy, exercises tact, patience, and professionalism at all times in responding to internal/external customers. Acts as a liaison among the customers, business partners, and plans in a professional, self-directed manner to ensure and promote customer satisfaction and retention.

ESSENTIAL FUNCTIONS

With general direction of the Patient Services Management Team and with latitude for initiative and judgment:

Patient Inquiries:

• Researches, interprets and responds to inquiries from internal and external customers concerning unresolved patient billing issues, outstanding balances as a result of statements sent within the billing systems (EPIC, Flowcast, and HBOC) utilizing reference materials and available resources.
• Resolves customer inquiries in an accurate, organized, efficient, timely, and expert manner, resulting in acceptable accuracy, production levels, and retention of patient services.
• Consistently adheres to all Patient Service policies, procedures, and performance measures including inquiry documentation procedures.
• Maintains performance and quality standards based on established call center metrics including turn-around times.
• Initiates insurance billing either electronically or via the use of the Electronic Work file transfer process within the billing systems for accounts classified as Self-Pay in error.
• Identifies and verifies coverage under the government health insurance programs.
• Secures revenue for URMC, HH, and URMFG by advising customers about insurance and payment options.
• Creates budget installment payment plans for those customers in need.
• Identifies patterns generated by external and internal activity impacting customer satisfaction.
• Uses best judgment under set procedures, alert management regarding issues not completed within specified timeframes.
• Participates in training to learn regulations, systems, procedures, develop skills and initiate actions to accurately fulfill all requirements of the job.
• Safeguards member privacy in accordance with the corporate privacy policies and procedures.
• Performs other related duties as assigned.

REQUIREMENTS

Knowledge and Experience:

• Associate's degree and 2 years of relevant experience required.
  • Or
• Equivalent combination of education and experience.

Preferred Qualifications:

• Proven and effective diplomatic communicator demonstrated by the ability to consistently present and express oral and written information in an organized, understandable, complete, and concise manner.
• Strong organizational skills, reasoning, and problem-solving skills.
• Ability to multi-task in order to efficiently resolve customer concerns, by actively listening to the customer, navigating multiple programs and applications at the same time, typing call documentation, and speaking to the customer simultaneously.
• Ability to prioritize tasks and work in fast paced environment. 
• Ability to work effectively as a member of a team.
• Excellent computer skills. Proficient at instant messaging and text messaging technology.

Expectations:

• Consistently demonstrate high standards of integrity by supporting the URMC’s values, and adhering to the Corporate Code of Conduct, and ICARE Philosophy of Care.
• Ability to remain professional and focused under multiple pressures and demands.
• Actively participate in and contribute to the daily operations of the Patient Services Department by identifying improvements to processes, services, and the patient experience.
• Reliable attendance.

Professional Competencies:

• Customer Focus
• Active Listening and Empathy
• Excellent Oral/Written Communication
• Proactive
• Detail-Orientation
• Problem Solving/Organizational Skills
• Teamwork Orientation

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.