Payment Recovery Specialist jobs in Rochester, NY

Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Lead Payment Posting Specialist
  • University of Rochester
  • Rochester, NY FULL_TIME
  • Opening

    Full Time 40 hours Grade 010 United Business Office

    Schedule

    8 AM-5 PM

    Responsibilities

    Job Summary

    With significant latitude for initiative and judgment the MFGBO Lead Payment Posting Specialist is responsible for assisting the Payment Posting Manager to direct the daily operations of the department. Trains new employees, monitor, resolves posting and remittance problems, and provides coverage during employee absences. The Lead Payment Posting Specialist is responsible for maintaining various departmental databases and spreadsheets including the Issue database to ensure efficient resolution of payment posting issues. This position requires excellent organizational and interpersonal skills, attention to detail, and understanding of sound financial controls, ability to interpret University ledger reports, third party payer remittances and strong analytical abilities.

    Key Functions and Expected Performances

    With general direction of the Payment Posting Supervisor and with significant latitude for initiative and judgment:

    • 40% Supervises and coordinates the daily activities for payment posting staff, serves as a focal point for answering questions and solving problems for difficult and unusual accounts. Troubleshoots problem identification, quantification and resolution. Coordinates the development of the monthly schedule outlining individual duties and responsibilities- including but not limited to electronic file processing, Manual Payment Posting, Refunding, Self-Pay and CC Payments. Responsible for the training and cross training of all employees within the department. Enters problems, employee errors, transactions and questions into respective databases and follows issues through to resolution.

    • 20% Assists in personnel related matters, such as monitoring and preparing performance evaluations. Brings conflict out into the open and resolves it collaboratively through negotiation, involving management when needed. Closely monitors staff performance, developing methods of performance review and quality control. Provides specific feedback to staff on a continuing basis and in a timely manner; which encourages growth. Assists in the hiring, training and cross-training of staff.

    • 25% Assists in performing payment application activities to ensure coverage during staff absences, or as needed. This includes but is not limited to: posting electronic files, posting self-pay payments, posting third party commercial payments, reversing charge off accounts that were sent to the collection agency, posting manual insurance payments, posting denials, credit card payments and authorization, and processing patient refunds.

    • 10% Acts as an authority in the absence of the manager, exercising tact and good judgment. Reviews and approves staff time off requests in the absence of the manager following departmental policies and procedures.

    • 5% Recommends, develops and implements policies and procedures. Annually reviews and updates existing policy and procedure manual.

    Background Expectations:

    • Required:

    • Associate's degree in Business Administration.

    • 3 years of medical patient accounting or consumer accounting experience; or an equivalent combination of education and experience.

    • 1 year of demonstrated leadership experience; or an equivalent combination of education and experience.

    • Preferred:

    • Medical terminology experience.

    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

    Pay Range

    Pay Range: $19.00 - $26.44 Hourly

    The 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 byconsidering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

  • 1 Month Ago

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Certified Peer Recovery Specialist
  • CASA-Trinity
  • Hornell, NY FULL_TIME
  • Recovery Coaching is a peer-based recovery support service that is non-clinical and designed to engage others beyond initiation through stabilization and into recovery maintenance.The Peer Recovery Sp...
  • 23 Days Ago

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Certified Peer Recovery Specialist - Connections to Care
  • CASA-Trinity
  • Dansville, NY FULL_TIME
  • Recovery Coaching is a peer-based recovery support service that is non-clinical and designed to engage others beyond initiation through stabilization and into recovery maintenance.The Peer Recovery Sp...
  • 26 Days Ago

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Certified Peer Recovery Specialist - Connections to Care
  • CASA-Trinity
  • Hornell, NY FULL_TIME
  • Recovery Coaching is a peer-based recovery support service that is non-clinical and designed to engage others beyond initiation through stabilization and into recovery maintenance.The Peer Recovery Sp...
  • 29 Days Ago

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Lawn Specialist
  • TruGreen - Lawn Specialist - Rochester, NY
  • Silver Lake, NY FULL_TIME
  • TruGreen is Hiring Residential Lawn SpecialistsImmediate Openings in Rochester, NY At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with Tr...
  • 24 Days Ago

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Siding Installer
  • Tom Petro Siding Specialist
  • Dundee, NY FULL_TIME
  • Overview:We are seeking a Siding Installer to join our team. Experience not necessary.As an Installer, you will be responsible for performing various tasks, such as siding installation, gutters, windo...
  • 1 Day Ago

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0 Payment Recovery Specialist jobs found in Rochester, NY area

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Outpatient Access Specialist - Batavia, NY
  • University of Rochester
  • Rochester, NY
  • Opening Full Time 40 hours Grade 007 Ambulatory Administration Schedule 8 AM-4:30 PM Responsibilities GENERAL PURPOSE: P...
  • 4/19/2024 12:00:00 AM

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Remote RN Care Coordinator
  • Wellbox, Inc.
  • Rochester, NY
  • Description Wellbox is a growing healthcare company dedicated to helping people live healthier, happier lives. We do thi...
  • 4/19/2024 12:00:00 AM

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Senior Consultant, Transformation in Education
  • Coordinated Care Services, Inc. (CCSI)
  • Rochester, NY
  • Senior Consultant, Transformation in Education Consulting Hybrid in New York State Only FULL-TIME [Nonexempt] : 40 of ho...
  • 4/19/2024 12:00:00 AM

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Director of Engineering
  • Hiring Now!
  • Webster, NY
  • fairlife, LLC is a Chicago-based nutrition company that creates great-tasting, nutrition-rich and dairy products to nour...
  • 4/17/2024 12:00:00 AM

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Plant Director
  • Hiring Now!
  • Webster, NY
  • fairlife, LLC is a Chicago-based nutrition company that creates great-tasting, nutrition-rich and dairy products to nour...
  • 4/17/2024 12:00:00 AM

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Accountant
  • CHESS Health
  • East Rochester, NY
  • Who We Are CHESS Health, based in Rochester, NY, is a rapidly growing healthcare technology, software and services compa...
  • 4/16/2024 12:00:00 AM

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Assistant Manager, Sales
  • American Freight Inc.
  • Henrietta, NY
  • ** Assistant Manager, Sales** **Job Category****:** Sales **Requisition Number****:** ASSIS05027 Showing 1 location **Jo...
  • 4/16/2024 12:00:00 AM

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Construction Project Manager
  • NSF EPC
  • Rochester, NY
  • CONSTRUCTION PROJECT MANAGER SUMMARY: The Project Manager is responsible for providing overall managerial direction for ...
  • 4/15/2024 12:00:00 AM

Rochester is at 43°9′56″N 77°36′41″W / 43.16556°N 77.61139°W / 43.16556; -77.61139 (43.165496, −77.611504). The city is about 73 miles (120 km) east-northeast of Buffalo and about 87 miles (140 km) west of Syracuse and Albany, the state capital is 226 miles (360 km) to the east ; it sits on Lake Ontario's southern shore. The Genesee River bisects the city. Toronto, Canada is northwest 168 miles (270 km) and New York City is about 350 miles (560 km) to the southeast. According to the United States Census Bureau, the city has a total area of 37.1 square miles (96 km2), of which 35.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$47,588 to $62,614
Rochester, New York area prices
were up 1.5% from a year ago