[Hiring] Registration and Insurance Management Representative III @University of Rochester

Role Description

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.

Responsibilities:

• Performs the functions of patient account management for individuals receiving services.
• Completes tasks of insurance verification, obtaining precertification, completing credit statements, making payment plans, requesting deposits, and initiating referrals to sponsorship programs.
• Coordinates account management through discharge and forwards accounts to the patient accounting office.

ESSENTIAL FUNCTIONS:

• Initiates appropriate contact with third-party payors to verify insurance benefits of patients.
• Documents information in an accurate and timely manner in the hospital computer system.
• Maintains a monitoring system of benefits throughout all inpatient stays.
• Obtains any signatures required to obtain verification and secure benefits.
• Informs patients of hospital financial policies.
• Establishes payment plans for patients according to these policies using results of credit statements.
• Assists patients in identifying resources to meet their hospital obligation.
• Serves as an information channel for obtaining pre-certification approvals for elective and other inpatient stays.
• Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed.
• Interviews responsible parties to determine credit status as a tool for securing patient accounts.
• Verifies information collected and maintains confidentiality of all patient information.
• Exercises knowledge of sponsorship programs available to patients.
• Initiates the application process, including completing forms and scheduling appointments.
• Calculates deposit requirements for patients using knowledge of credit policy and hospital charges.
• Informs patients of deposit and requests payments.
• Coordinates collection of deposit amounts with Admitting Officers and Cashiers.
• Discusses pending admissions with physicians and their office staff to ensure proper information is received.
• Other duties as assigned.

Qualifications

• High School diploma or equivalent and 4 years of experience in patient accounts related area required.
• Bachelor's degree preferred.
• Or equivalent combination of education and experience.

Requirements

• 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.
• 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.