University of Rochester
Health Insur & Auth Rep III
University of Rochester, Rochester, New York, United States, 14600
Health Insurance Counseling Representative
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 Characteristics). 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. Location: Strong Memorial Hospital Responsibilities
General Purpose: The individual in this position manages and provides financial account management for all assigned caseloads. Accountable for coordinating all activities necessary to financially secure the defined accounts through verifying insurances, requesting deposits for non-covered services and co-pays. Identifies complex problems that include but are not limited to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. This role involves in-depth communication, collaboration, and follow-up with patients, families, third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from admission/arrival until the final bill is produced and any payer denials associated with the above. Essential Functions
Customer Interactions Financial Management Compliance Quality Management Interdisciplinary Processes Minimum Education & Experience
High School Diploma or equivalent Required AAS Degree Preferred 3 years of related experience, preferably in a hospital setting, Required Or equivalent combination of education and experience Required Knowledge, Skills and Abilities
High degree of professionalism and motivation with excellent communication and customer service skills Required Strong computer skills and ability to type 45 words per minute. Preferred Strong ability to multi-task and prioritize. Required Medical terminology. Preferred Flexible to work weekends, other assigned hours and/or responsibilities as needed 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 Characteristics). 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. Location: Strong Memorial Hospital Responsibilities
General Purpose: The individual in this position manages and provides financial account management for all assigned caseloads. Accountable for coordinating all activities necessary to financially secure the defined accounts through verifying insurances, requesting deposits for non-covered services and co-pays. Identifies complex problems that include but are not limited to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. This role involves in-depth communication, collaboration, and follow-up with patients, families, third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from admission/arrival until the final bill is produced and any payer denials associated with the above. Essential Functions
Customer Interactions Financial Management Compliance Quality Management Interdisciplinary Processes Minimum Education & Experience
High School Diploma or equivalent Required AAS Degree Preferred 3 years of related experience, preferably in a hospital setting, Required Or equivalent combination of education and experience Required Knowledge, Skills and Abilities
High degree of professionalism and motivation with excellent communication and customer service skills Required Strong computer skills and ability to type 45 words per minute. Preferred Strong ability to multi-task and prioritize. Required Medical terminology. Preferred Flexible to work weekends, other assigned hours and/or responsibilities as needed Required