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University of Rochester

Revenue Cycle Coordinator III - Pharmacy

University of Rochester, Rochester, New York, United States

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Revenue Cycle Coordinator III - Pharmacy

– University of Rochester

Location: 601 Elmwood Ave, Rochester, NY 14642, United States.

Employment Type: Full time; Weekly Hours: 40; Shift: UR – Day; Worker Subtype: Regular.

Compensation: $20.99 – $28.34 per hour. The referenced pay range represents the minimum and maximum compensation for this job. Individual rates will be set within the range, based on market data, education, experience, qualifications, expertise, and internal equity considerations.

Job Summary Plans, organizes and conducts operations that affect the revenue cycle, such as billing, collections, and payment processing. Recommends and implements processes to meet revenue cycle goals in collaboration with medical practices. Conducts related training, monitoring, analysis and reporting on revenue cycle processes and results. Recommends and implements practice‑specific process improvement recommendations.

Essential Functions

Resolve accounts on work queues relevant to the area.

Research accounts held from billing and review flagged accounts and research documentation to ensure accuracy.

Takes appropriate system actions on accounts based on billing guidelines and record research.

Post electronic files, self‑pay payments, third‑party commercial payments, reverse charge‑off accounts sent to the collection agency, manual insurance payments, denials, credit card payments and authorizations.

Process patient refunds, as needed.

Respond to incoming questions and solve problems for difficult and unusual accounts.

Troubleshoot problem identification, quantification, and resolution.

Assist with the development of monthly schedule, outlining individual duties and responsibilities, including but not limited to electronic file processing, manual payment posting, refunding, Self‑Pay and CC Payments.

Enter problems, employee errors, transactions and questions into respective databases and follow issues through to resolution.

Provide support regarding payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance reports issued by external partners.

Reconcile client billing on a monthly basis.

Assist with credit balance work queues as needed.

Recommend improvements to policies and procedures, and assist with the review of existing policy and procedure manuals.

Other duties as assigned.

Minimum Education & Experience

Associate’s degree and 1 year of relevant experience.

Or equivalent combination of education and experience.

EEO Statement 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. The University does not discriminate 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 other characteristics protected by law, within applicable federal, state, or local regulations.

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