Billing & Collections Representative II Job at Rady Children's Hospital-San Diego (San Diego)

Patient Self-Pay Resolution Center Representative II

The Patient Financial Representative acts with compassion and empathy, exercises...

Location

United States of America , Rochester

Salary:

19.08 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High school graduate with 4 years of experience in healthcare, billing, or collections experience
Bachelor's degree with at least 1 year of related experience
Equivalent combination of education and experience

Job Responsibility

Provides timely responses to customer inquiries by telephone, email or website chatbox in an in- or outbound service center, consistent with service and quality standards
Troubleshoots and resolves customer complaints
Performs the functions of Patient Account Management for individuals receiving care from the University of Rochester Medical Center (URMC), Highland Hospital (HH), and University of Rochester Medical Facility Group (URMFG)
Responds to patients' inquiries via telephone, MyChart, mail, email, and fax, concerning, but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third Party Billing rules and regulations, and the Fair Credit Debt Collection Practices Act
Acts as a liaison among the customers, business partners, and plans in a professional, self-directed manner to ensure and promote customer satisfaction and retention
Researches, interprets and responds to inquiries from internal and external customers concerning unresolved patient billing issues, outstanding balances as a result of statements sent within the billing systems (EPIC, Flowcast, and HBOC) utilizing reference materials and available resources
Resolves customer inquiries in an accurate, organized, efficient, timely, and expert manner
Consistently adheres to all Patient Service policies, procedures, and performance measures including inquiry documentation procedures
Maintains performance and quality standards based on established call center metrics including turn-around times
Initiates insurance billing either electronically or via the use of the Electronic Work file transfer process within the billing systems for accounts classified as Self-Pay in error

Fulltime

Patient Self-Pay Resolution Center Representative II

The Patient Financial Representative performs the functions of Patient Account M...

Location

United States of America , Rochester

Salary:

19.08 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High school graduate with 4 years of experience in healthcare, billing, or collections experience
Bachelor's degree with at least 1 year of related experience
Equivalent combination of education and experience
Proven and effective diplomatic communicator demonstrated by the ability to consistently present and express oral and written information in an organized, understandable, complete, and concise manner
Ability to remain professional and focused under multiple pressures and demands
Strong organizational skills, reasoning, and problem solving skills
Ability to multi-task in order to efficiently resolve customer concerns, by actively listening to the customer, navigating multiple programs and applications at the same time, typing call documentation, and speaking to the customer simultaneously
Ability to prioritize tasks and work in fast paced environment
Ability to work effectively as a member of a team
Actively participate in and contribute to the daily operations of the Patient Services Department by identifying improvements to processes, services, and the patient experience

Job Responsibility

Responds to patients' inquiries via telephone, MyChart, mail, email, and fax, concerning, but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third Party Billing rules and regulations, and the Fair Credit Debt Collection Practices Act
Acts as a liaison among the customers, business partners, and plans in a professional, self-directed manner to ensure and promote customer satisfaction and retention
Provides timely responses to customer inquiries by telephone, email or website chatbox in an in- or outbound service center, consistent with service and quality standards
Troubleshoots and resolves customer complaints
Researches, interprets and responds to inquiries from internal and external customers concerning unresolved patient billing issues, outstanding balances as a result of statements sent within the billing systems (EPIC, Flowcast, and HBOC) utilizing reference materials and available resources
Resolves customer inquiries in an accurate, organized, efficient, timely, and expert manner
Consistently adheres to all Patient Service policies, procedures, and performance measures including inquiry documentation procedures
Maintains performance and quality standards based on established call center metrics including turn-around times
Initiates insurance billing either electronically or via the use of the Electronic Work file transfer process within the billing systems for accounts classified as Self-Pay in error
Identifies and verifies coverage under the government health insurance programs

Fulltime

New

Patient Access Representative II – Insurance Verification Representative

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools
Obtain and document prior authorizations, including peer-to-peer requests and escalations
Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding
Provide mentorship and training to Patient Access Representative I staff
Assist in resolving escalated patient inquiries and insurance issues
Ensure accurate and complete patient registration and financial documentation
Collect co-pays, deductibles, and outstanding balances
establish and monitor payment plans
Maintain compliance with HIPAA, organizational policies, and payer regulations
Participate in quality improvement initiatives and workflow optimization projects

Fulltime

Patient Access Representative II – Insurance Verification Representative

The Patient Access Representative II – Insurance Verification is responsible for...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access
Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices
Strong communication and customer service skills with the ability to de-escalate complex situations
Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment
Attention to detail and accuracy in data entry and documentation
Demonstrated leadership and mentoring capabilities

Job Responsibility

Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools
Obtain and document prior authorizations, including peer-to-peer requests and escalations
Coordinate with clinical departments and physician offices to ensure accurate procedure and diagnosis coding
Provide mentorship and training to Patient Access Representative I staff
Assist in resolving escalated patient inquiries and insurance issues
Ensure accurate and complete patient registration and financial documentation
Collect co-pays, deductibles, and outstanding balances
establish and monitor payment plans
Maintain compliance with HIPAA, organizational policies, and payer regulations
Participate in quality improvement initiatives and workflow optimization projects

Parttime

A/R Recovery Representative I (Tier II)

In this long-term contract role, you will play a vital part in ensuring the accu...

Location

United States , Rochester

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma and at least 4 years of experience in customer service, finance, accounting, or payroll
Strong organizational skills and the ability to make effective decisions
Proficiency in Microsoft Word, Excel, and Access
Demonstrated ability to resolve disputes and recover revenue
Knowledge of billing functions and compliance procedures
Familiarity with payroll, human resources administration, and financial processes
Excellent communication skills for interacting with clients and partners
Experience in mitigating risks and ensuring adherence to company policies

Job Responsibility

Resolve past-due invoices promptly and accurately to minimize financial risks
Provide excellent customer service to both internal and external clients, ensuring effective communication and dispute resolution
Educate clients, partners, and internal teams on resolution processes and billing procedures
Utilize available systems and resources to address disputes and recover owed revenue
Maintain compliance with established departmental policies and procedures
Participate in ongoing training to continually enhance skills and knowledge
Develop and maintain a working knowledge of company products and services, including payroll, human resources, and acquired portfolios
Balance service delivery with effective collection strategies to protect company interests
Collaborate with external partners and departments to streamline recovery processes
Apply strong organizational skills to manage workload and meet resolution deadlines

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Claims resolution representative II

The claims resolution representative II is responsible for working across the pr...

Location

United States of America , Rochester - NY; Albany

Salary:

18.71 - 25.27 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma and 2 years of related work experience or equivalent combination of education and/or experience
Strong working knowledge of the professional billing software applications
Excellent customer service skills

Job Responsibility

Performing routine follow-up activities designed to bring all open account receivables to successful closure
Effective claims follow-up to obtain maximum revenue collection
Researching, correcting, resubmitting claims, submitting appeals and taking timely and routine action to resolve unpaid claims
Follows department policies and procedures and maintains and exercises thorough knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivables
Follows up on denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission
Research claims, identifies problems, and takes appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing
Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims
Follows established procedure for missing insurance payment information on claims

Fulltime

Ed access representative ii

Coordinates functions associated with visits to the Emergency Department. Monito...

Location

United States of America , Rochester

Salary:

18.50 - 24.98 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma
1 year related work experience in an administrative office or customer service field
Or equivalent combination of education and experience

Job Responsibility

Coordinates functions associated with visits to the Emergency Department
Monitor and ensure that all functions are completed in an accurate, efficient, and patient/customer friendly manner
Facilitate workflow in the department by supporting clinical staff
Greets patients to initiate positive experience, requests patient identification, collects and verifies patient demographic and financial information
Initiates the ED medical/financial record and identifies forms needed for specific ED visit
Assembles ED charts for admissions and discharges, ensuring all paperwork is completed and distributed appropriately
Performs duties and achieves and maintains proficiency in the provision of excellent customer service, accuracy of data, and efficiency of work
Coordinates daily efforts to edit and correct registration and billing errors during full registration process
Identifies ways to reduce follow-up, repetitive or corrective work
Utilizes eRecord programs to facilitate workflow

Fulltime

ED Access Representative II

Coordinates functions associated with visits to the Emergency Department. Monito...

Location

United States of America , Rochester

Salary:

18.50 - 24.98 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma
1-year related work experience in an administrative office or customer service field
Or equivalent combination of education and experience

Job Responsibility

Coordinates functions associated with visits to the Emergency Department
Monitor and ensure that all functions are completed in an accurate, efficient, and patient/customer friendly manner
Facilitate work flow in the department by supporting clinical staff
Greets patients to initiate positive experience, requests patient identification, collects and verifies patient demographic and financial information
Initiates the ED medical/financial record and identifies forms needed for specific ED visit
Assembles ED charts for admissions and discharges, ensuring all paperwork is completed and distributed appropriately
Performs duties and achieves and maintains proficiency in the provision of excellent customer service, accuracy of data, and efficiency of work
Coordinates daily efforts to edit and correct registration and billing errors during full registration process. Identifies ways to reduce follow-up, repetitive or corrective work
Utilizes eRecord programs to facilitate workflow
Manages patient tracking system, ensuring correct location of patients within ED

Fulltime

Billing & Collections Representative II

Rady Children's Hospital-San Diego

Location:
United States , San Diego

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 21, 2026

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