University of Rochester Registration and Insurance Management Counselor in Rochester, New York

Opening

Full Time 40 hours Grade 007 Registration & Insurance Mgmt

Schedule

9:30AM-6PM; OCC WKENDS

Responsibilities

Job Summary:

This position is a member of Registration and Insurance Management which coordinates functions associated with patient demographic, primary care physician and insurance information for Ambulatory sites. The Registration and Insurance Management Counselors have a broad knowledge base in the rules and regulations of third party billing and the complexities of multispecialty billing offices. In addition this position requires experience among the enterprise billing system; Flowcast/HBOC with a proficient competency level in the use of verification, third party and government billing systems. The RIM Counselor accepts patient calls at the time the patient is scheduling an appointment within 30 days to ensure the registration and insurance information is updated. The RIM Counselor also completes the task of sending and reviewing pre-registration forms for Ambulatory sites and updates the enterprise billing systems accordingly.

UR Medicine has a monthly average of 92,000 scheduled visits. The RIM Counselor will ensure that the registration and eligibility of insurance, which includes but is not limited to demographic, co-pay/deductibles, PCP information, is in place at the time of service, securing revenue for the enterprise. The scheduling volume will continue to increase as providers join UR Medicine. The RIM Counselor initiates a referral to Financial Case Management for certain UR departments to pursue possible Medicaid coverage. This position is responsible for updating Flowcast system edits relating to demographic and insurance information and is responsible in part for a decrease of rework and enhanced revenue. This process promotes a seamless arrival process. Additionally, a RIM Counselor’s advanced knowledge of Registration/Insurance and system logic aids in accurate and timely reimbursement of services.

Duties:

Under the direction of the RIM Operations Manager:

Financial Account Management:

Accepts UR Access Center and Departmental Call Centers’ patient calls at the time of scheduling an appointment to ensure the registration and insurance information is updated within 30 days of patient appointments.

Initiates outgoing calls and emails to patients and/or representatives regarding registration and insurance coverage or lack of in a timely and customer friendly manner utilizing the ICARE values.

Ensures Flowcast has updated demographic, insurance, co-pay and primary care physician information prior to patient appointment and/or final bill.

Essential / Quality

Responsible for working daily on designated edit reports generated by the UR Enterprise Billing System. Completes online referrals to Financial Case Management for Self-pay patients where appropriate, follows-up with departments and primary care offices to reconcile discrepancies, investigates inaccurate insurance, primary care physician, and co-pay information.

Responsible for completing real time eligibility when UINS date field is greater than department standard.

RIM Counselor remains competent with a broad knowledge base of registration and insurance requirements.

Has ongoing communication with management relating to operational and system issues. (20%)

*Customer Interaction: *

The RIM Counselor is a Third Party Payer resource to departmental staff (Outpatient Access Specialist, Insurance Collection Specialists, Financial Counselor, etc.) within UR Medicine. They serve as a front-line problem solver for registration billing requirements. Identifies areas of improvement, notifies RIM Operations Manager, plan and implements as directed. Understands and adopts the ICARE values and behaviors.

Other duties: Updates RIM operational procedures. Performs other related duties as assigned.

Qualifications:

High School Diploma or equivalent. Two years’ experience, preferably in an ambulatory/private office setting, customer service or an equivalent combination of education and experience. The candidate requires a high degree of professionalism, motivation, excellent communication and customer service skill. Has excellent computer skills and ability to type 25 words per minute and excellent organization and problem solving skills. Has the ability to work in a team environment with independent judgment.

Preferred knowledge of Flowcast, PC functions (Word, Excel, e-mail, Web), Third Party Payor Websites and Government systems.

EOE Minorities/Females/Protected Veterans/Disabled

Job Title: Registration and Insurance Management Counselor

Location: Medical Faculty Group

Job ID: 203212

Regular/Temporary: Regular

Full/Part Time: Full-Time