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University of Rochester

Private research university in Rochester, NY

Self-Pay Resolution Center Representative 2

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRochester, NY, USA$19.72 - $26.62In-person

About the Job

Requirements

  • An associate's degree and 2 years of relevant experience are required, or an equivalent combination of education and experience.
  • Ability to use billing systems to initiate insurance billing and identify and verify coverage under government health insurance programs.
  • Ability to research, interpret, and respond to patient billing inquiries accurately and efficiently.
  • Ability to follow Patient Services policies, procedures, performance measures, and inquiry documentation procedures.
  • Ability to safeguard member privacy in accordance with corporate privacy policies and procedures.

Responsibilities

  • Provide timely responses to customer inquiries by telephone, email, or website chat in an inbound or outbound service center, consistent with service and quality standards.
  • Troubleshoot and resolve customer complaints.
  • Initiate insurance billing electronically or through the Electronic Work file transfer process within billing systems for accounts classified as Self-Pay in error.
  • Identify and verify coverage under government health insurance programs, and advise customers about insurance and payment options to secure revenue for the University and its affiliates.
  • Research, interpret, and respond to internal and external customer inquiries concerning unresolved patient billing issues, meeting accuracy, production, and patient-service retention standards.
  • Maintain performance and quality standards based on established call center metrics, including turnaround times, and create budget installment payment plans for customers who need them.
  • Adhere to Patient Services policies, procedures, performance measures, and inquiry documentation procedures; use judgment under established procedures and alert management about issues not completed within specified timeframes.
  • Identify patterns in external and internal activity that affect customer satisfaction.
  • Participate in training to learn regulations, systems, and procedures, develop skills, and take actions to fulfill job requirements accurately.
  • Perform other duties as assigned.

About the Company

University of Rochester

Private research university in Rochester, NY

The University of Rochester is a research university with programs spanning the humanities, health care, business, education, music, engineering, and the sciences.

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