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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:

500011 Patient Financial Services

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 206 H

Compensation Range:

$21.71 - $29.31

_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._

Responsibilities:

GENERAL PURPOSE:

Works within specific functions within the organization, providing leadership within team and assisting in guiding the actions of staff. Responsible for providing guidance and direction for staff in the absence of a supervisor, resolving simple and complex questions and providing performance feedback to supervisors and managers. Supports some aspects of billing office operations, including basic principles of staff management/supervision.

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 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 Classes). 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.

Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.

Learn. Discover. Heal. Create.

Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.

If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals

At the University of Rochester, we commit to diversity, equity, and inclusion and united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.