[Hiring] Price Estimation Rep III @University of Rochester

Role Description

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.

As a member of the Patient Self-Pay Services department, you will:

• Assess all aspects of providing an accurate estimate of both insurance coverage and out-of-pocket costs for patient health care.
• Address inquiries related to the cost of health care service and/or billing inquiries.

Essential Functions

• Evaluate and process incoming Good Faith estimates and inquiries from internal and external customers via phone calls, emails, and correspondence.
• Explain and refer patients and/or families to the UR Medicine Financial Assistance programs as appropriate.
• Obtain benefit information from third party payers to advise patients on expected out-of-pocket costs.
• Act as a liaison between patients and providers.
• Develop and utilize contacts at all patient care locations for accurate information dissemination.
• Retrieve and disseminate the insurance fee schedule and reimbursement matrixes.
• Perform contract reviews to ensure proper reimbursement rates.
• Complete system documentation notes regarding estimates provided to patients.
• Generate patient estimation letters detailing anticipated costs and patient responsibilities.
• Meet departmental standards for accurate and timely financial estimation.
• Develop audit procedures to ensure accuracy of information given to customers.
• Complete reviews of estimates and services received to identify discrepancies.
• Make recommendations to leadership on correcting discrepancies.
• Perform other duties as assigned.

Qualifications

• Bachelor's degree and 3 years of relevant experience required.
• Or equivalent combination of education and experience.

Requirements

• Commitment to fostering, cultivating, and preserving an inclusive and welcoming culture.
• Adherence to non-discrimination policies based on protected characteristics.

Benefits

• Comprehensive benefits package.
• Support for professional development.
• Opportunities for community engagement.