Price Estimation Rep III
作为一个社区，罗切斯特大学被定义为对梅利奥拉 - 永远更好的深刻承诺。我们在这个理想中嵌入着我们的共同价值观：公平，领导力，诚信，开放性，尊重和问责制。一起，我们将制定对待彼此的方式的最高标准，以确保我们的社区是欢迎所有人并是一个地方每个人都可以繁荣的地方。工作地点 （完整地址）:远程工作 - 纽约，阿尔巴尼，纽约，美国 12224开业时间：工人子类型：常规时段：全职时间计划周班：40分部患者：910401 自付服务工作转班：UR-日期 （美国）范围：URC 206 校园区间：公司：UR206 校园 参考薪酬范围代表该工作的最低和最高赔偿。个人年工资/小时费将在工作的补偿范围内设定，并通过考虑包括但不限于市场数据，教育，经验，资格，个人的专业知识以及内部公平考虑等因素来确定。责任：评估对患者医疗保健相关的所有事项提供保险覆盖和外包成本的准确估计的所有方面。解决有关医疗服务成本和/或发票查询的问题。· 评估和处理来自信誉公司的收到的估计，以及通过电话通话，电子邮件和通信接入的内部和外部客户的询问。根据情况解释并将患者和/或家属转移到大学提供的 UR 医学金融援助计划中。说明可能有其他付款选择和提供方案，如适宜。· 从第三方支付者那里获取信息，以向患者咨询有关可扣除品，共保险，配资费用或服务未覆盖时的总费用所需的预期外出口费用。作为病人与供应商之间的联系人。根据医疗保健机构或部门提供准确信息，开发和利用所有患者护理地点的联系人。· 检索并传播保险费表和保险退款矩阵。进行合同审查并确保使用适当的退款率，通过确定是否将基于诊断相关组 (DRG),外包支付分类 (APC),费表，收费百分比或其他定义方法来支付。· 完成 app.
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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.
Job Location (Full Address):
Remote Work - New York, Albany, New York, United States of America, 12224Opening:
Worker Subtype:
RegularTime Type:
Full timeScheduled Weekly Hours:
40Department:
910401 Patient Self-Pay ServicesWork Shift:
UR - Day (United States of America)Range:
UR URC 206 HCompensation Range:
$21.40 - $28.89The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Assesses all aspects of providing an accurate estimate of both insurance coverage and out-of-pocket costs for all matters concerned with patient health care. Addresses inquiries related to the cost of health care service and/or billing inquiries.ESSENTIAL FUNCTIONS
- Evaluates and processes incoming Good Faith estimates, as well as incoming inquiries from internal and external customers from phone calls, emails, and correspondence. Explains and refers patients and/or families, as appropriate, to the UR Medicine Financial Assistance programs offered by the University. Explains other payment options that may be available and offered, as appropriate.
- Obtains benefit information from third party payers to advise patients on their expected out-of-pocket costs related to deductibles, coinsurance, copayments or total charges if services are non-covered. Acts as liaison between patients and providers. Develops and utilizes contacts at all patient care locations to provide accurate information based on the provider or department.
- Retrieves and disseminates the insurance fee schedule and insurance reimbursement matrixes. Performs contract reviews and ensures the proper reimbursement rates are utilized by determining if payments will be based on diagnosis-related group (DRG), Ambulatory Payment Classifications (APC), fee schedule, percentage of charges, or other defined methods.
- Completes appropriate system documentation notes regarding the estimate provided to the patient. Provides and generates patient estimation letter which details the anticipated cost and patient responsibility for those services quoted. Has accountability for meeting departmental standards for accurate and timely financial estimation for traditional requests to both patients and providers. Has accountability for meeting Public Health Service Act standards and providing a Good Faith estimate.
- Develops audit procedures to ensure the accuracy of the information given to customers. Completes reviews of estimates and services received to determine if there are any discrepancies in the rates quoted. Makes recommendations to leadership on how to correct these discrepancies in the future.
- Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
- Bachelor's degree and 3 years of relevant experience required
- Or equivalent combination of education and experience
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.
Originally posted on Himalayas