Registration & Insurance Management Specialist Jobs at University of Rochester in Nordwood Group, Uva Province

Published 10 months ago

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University of Rochester company opens jobs for Registration & Insurance Management Specialist positions in the Uva Province region. The type of work we provide is Full-time.

The criteria for the employees we need are having Administrative skills with Entry level experience, as well as employees who are honest, disciplined and responsible.

The estimated salary offered by this company is quite competitive around රු. 11,000 - රු. 29,000 (per month). However, the salary can go up or down depending on the company that decides it.

The Headhunters company itself is engaged in Higher Education, of course if you are interested in applying for this company, you can register immediately.

Job Information

Company:University of Rochester
Position:Registration & Insurance Management Specialist
Region:Uva Province, Nordwood Group - Uva Province
Job Function:Administrative
Seniority Level:Entry level
Employment Type:Full-time
Industry:Higher Education

Job Description

Opening

Full Time 40 hours Grade 008 Registration & Insurance Mgmt

Responsibilities

Job Summary:

This position is a member of a Registration and Insurance Management team which coordinates functions associated with Patient demographic, Guarantor, and Insurance Coverage for UR Medicine. Registration and Insurance Management Specialist requires a broad knowledge base in the rules and regulations of third party billing and the complexities of multispecialty billing. In addition this position requires experience among the enterprise billing system; Flowcast/EPIC with a proficient competency level in the use of verification, third party and government billing systems. RIM Specialist completes the task of sending real time eligibility and also reviewing batch file for visit volumes of approximately 300,00 monthly as it relates to verification of insurance which includes but is not limited to demographic, co-pay/deductibles, benefit information, referrals/authorization, PCP information and Self Pay recovery. Responsible for contacting patient/representative regarding registration, insurance coverage or lack of to ensure patient is aware and secure revenue for the URMC enterprise. To pursue Medicaid for the patient the RIM Specialist initiates a referral to Financial Case Management. Responsible for updating Flowcast system edits produced by the GE batch file Epic WQ’s. This position will be responsible in part for a decrease of rework and enhance revenue of 3-5 million dollars annually. This process promotes an “uneventful” and seamless arrival process. Additionally, a RIM Specialist’s advanced knowledge of insurance and system logic aids in accurate and timely reimbursement of services.

Key Functions and Expected Performances:

Under the direction of the RIM Director:

Weight =45%

  • Responsible for pre-verification of insurance five days prior to sched appointments, real time verification (urgent care, walk-ins, Emergency, etc.) for URMFG and SMH/HH Outpatient departments. Remains competent with a broad knowledge base of insurance requirements and necessary changes affecting all information systems for Primary Care, hospital based practices, multi-specialty and SMH/HH Outpatient departments. Understands flow of information between the Central Insurance Verification Unit and URMFG/SMH/HH Outpatient departments; importance of registration accuracy. Ongoing communication with management relating to operational and system issues.

Financial Account Management: Weight = 40%

  • Responsible for working daily on designated edit reports generated by the GE Eligibility System based upon assignments. Initiates outgoing calls to insurance companies, patients and/or representative regarding insurance coverage or lack of in a timely and customer friendly manner utilizing Strong Commitment values. Ensures Flowcast/Epic is updated relating to insurance, co-pay and primary care physician information prior to patient appointment and/or final bill. Completes online referrals to Financial Case Management for Self-pay patients where appropriate, follows-up with departments and primary care offices to reconcile discrepancies, investigate inaccurate insurance, primary care physician and co-pay information, provides recommendations to Lead CIV Specialist and Manager.

Customer Interaction: Weight = 15%

  • Third Party Payer resource to departmental staff (Access Specialist, Insurance Collection Specialists, Financial Counselor, etc.) within URMFG/SMH/HH departments. Serves as a front-line problem solver for third party billing requirements. Identifies areas of improvement, notifies Lead CIV Specialist, plan and implements as directed. Understands and adopts the Strong Commitment values and behaviors.

Continuous Learning & Compliance:

  • Attends and actively participates in all meetings including staff meetings, compliance and training sessions, etc. Timely completion of annual health update and mandatory hospital in-service. Understand and follows departmental policies and procedures relating to dress code, vacation/PTO requests and HRMS documentation.

Other duties:

  • Updates RIM Unit operational procedures. Performs other related duties as assigned.

Background Expectations:

  • Associate Degree and 2 years’ experience or equivalent combination of education and experience preferably in a Primary Care Office or SMH Ambulatory Care setting
  • Knowledge of Verification, Third Party Payor and Government systems
  • Knowledge of Flowcast
  • Knowledge of PC functions (Word, Excel, e-mail, Web).
  • Excellent organization and problem solving skills
  • High professionalism, motivation, interpersonal skills
  • Exercises excellent communication skills and customer service skills
  • Ability to work in a team setting with all levels of management and staff
  • Associates or Bachelors Degree preferred

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion 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 status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Benefit

  • gain experience
  • taught first
  • Get bonus if overtime

Job Application Information

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Company Information

University of Rochester

Industry: Higher Education

The University of Rochester is a private research university located in Rochester, New York. Founded in 1850, it is one of the country’s top-ranked universities, with an expansive campus, research opportunities, and a commitment to excellence in teaching and learning. The university offers more than 200 undergraduate majors and around 2,00 courses across departments, with 70 research centers and institutes and around 50 interdisciplinary programs. The university is also home to the renowned Eastman School of Music, one of the world’s leading music conservatories, as well as the prestigious Medical Center and the Goergen Institute for Data Science.

The University of Rochester is well-known for its vibrant student life, which includes over 400 clubs and organizations, 20 sport teams, and a wide array of extracurricular activities. It is consistently listed as a great college town, with several theaters, restaurants, boutiques and other amenities. With its emphasis on collaboration and innovation, the university is deeply committed to its mission to create an academic environment that is both diverse and inclusive.

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