Job Information
University of Rochester Revenue Cycle Coordinator IV in Rochester, New York
Responsibilities
Position summary:
Perform all routine and non-routine duties required to prepare accounts for submission to the payers timely, accurately and in accordance with State and Federal regulations. Complete special projects that require specialized knowledge of billing requirements to ensure compliant claims processing.
Supervision and Direction Exercised:
The Revenue Cycle Coordinator IV is responsible for self-monitoring performance on assigned tasks, following standard procedures and may train and coordinate activities of lower level staff.
Machines and Equipment Used:
Standard Office Equipment, including but not limited to: telephone, photocopy machine, adding machine, personal computer, fax/scanner, EPIC and Emdeon billing systems, Microsoft Excel and Email and a variety of payer web sites (e.g. ePaces, Fidelis).
Typical Duties:
35% With minimum direction and latitude for independent judgment
Resolve accounts on the Ancillary work queues per APG guidelines.
Research accounts held from billing via the Ancillary Work queues researching documentation in eRecord to determine if the ancillary services are related to clinic visits or procedures
Take appropriate system actions on accounts based on interpretation of documentation, billing guidelines and record research.
25% With minimum direction and latitude for independent judgement:
Resolve accounts on the Coverage Manager II work queue.
Review accounts flagged to determine whether to transfer charges to PB based on billing models.
Take appropriate system actions on accounts based on billing guidelines and record research.
20% Assist Supervisor with Payer Audits:
- Audits include but are not limited to the quarterly Medicare & Medicaid Credit Balance report in addition to credit balance reports issued by Excellus or their business partners.
15% With minimum direction and latitude for independent judgement:
Reconcile client billing on a monthly basis.
Assist with credit balance work queues as needed.
5% Train new staff and cross train employees within the area; serve as the department expert for knowing the technical requirements for APG billing regulations and as the internal point person for getting APG questions resolved.
Expectations:
Attend department and team staff meetings
Stay current on HIPAA guidelines through education and reading monthly emails
Participate in educational training such as ICARE and annual In-service
Join PAO committees such as planning PAO events or addressing employee issues
Cross train on team processes to enable assistance and fill in as needed
Qualifications:
Associate’s degree in business field and 4-5 year’s experience in hospital billing, accounting, and/or coding; or an equivalent combination of education and experience.
Note: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion 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 status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range
Pay Range: $21.50 - $29.03 Hourly
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
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Location: Strong Memorial Hospital
Full/Part Time: Full-Time
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