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. …
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. …
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. …
Skills: Patient Transfer Coordination, Electronic Health Record (EHR), Customer Service, Medical Terminology, Data Entry
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. …
Skills: Patient Transfer Coordination, Electronic Health Record (EHR), Customer Service, Medical Terminology, Data Entry
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. …
Skills: Clerical Support, Customer Service, Medical Transcription, Patient Scheduling, Medical Terminology
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. …
Skills: Patient Transfer Coordination, Customer Service, Data Entry, Electronic Health Record (EHR), Medical Terminology
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. …
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. …
Skills: Customer Service, Communication Skills, Conflict Resolution, Wayfinding, Problem Solving
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. …
Skills: Clerical Experience, Medical Terminology, Customer Service, Transcription, Patient Scheduling
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. …
Skills: Clerical Support, Customer Service, Medical Transcription, Patient Scheduling, Medical Terminology
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. …
Skills: Clerical Experience, Customer Service, Medical Terminology, Transcription, Patient Scheduling
Automotive Floorplan Territory Manager Rochester, NY| Remote Company Overview: About Westlake Floorplan Company Westlake Floorplan Company was established in 2013 as a division of Westlake Financial Services – the …
Position Summary: Are you a self-starter, go-getter, and a deal manager looking to move your sales career forward? How about in an industry that is moving the things that move the world forward? The trucking sector of th…
Skills: B2B Sales, Lead Generation, Cold Calling, Account Management, Proposal Development
Scott & Associates, PC is a well-established, multi-state legal recoveries firm. Since our founding in 2000, we’ve grown into a leading force in debt recovery, providing trusted and comprehensive legal solutions fo…
Skills: Debt Collection, Negotiation, Customer Service, Microsoft Word, Microsoft Excel
GLC Business Services, Inc.
District Associate - ROC-A
Rochester, New York, United States · On-site
$18/hr
Entry level
This position is located within multiple legal offices in Rochester. The Area Office Associate will cross-train at the various sites within the local Rochester area to provide coverage and support where and when needed. …
Skills: Office Equipment Operation, Quality Control, Mail Distribution, Customer Service, Time Management
SUMMARY: An e-Commerce Team Member will focus on creation and order fulfillment for all e-Commerce business lines. This includes ownership for all of or a part of department processes which include sorting and labeling s…
Skills: Order Fulfillment, Product Listing, Digital Photography, Inventory Management, Customer Service
LPN, Client Relationship Specialist Schedule: Friday, Saturday, Sunday, Monday — 8:30am–5:00pm Who We Are At HCR Home Care, we believe care starts at home—for our patients and our team. For more than 45…
Scope of Responsibilities: Works under direct supervision of a pharmacist. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees Job Summary: Responsible for all aspects…
Skills: Data entry, Customer service, Problem resolution, Billing, Crediting
Description Episcopal SeniorLife Communities Mission: We provide high quality services from skilled nursing and restorative care to housing, assisted living and community-based wellness programs. We are committed to meet…
Skills: Security Surveillance, Emergency Response, First Aid, CPR, Visitor Screening
Job DetailsJob Location: Bob Johnson Buick GMC LLC - Rochester, NY 14626Position Type: Full TimeSalary Range: $50,000.00 - $70,000.00 Commission/yearJob Category: AutomotiveBob Johnson Auto Group has immediate openings f…
Skills: Customer Service, Sales Negotiation, Multitasking, Communication, Time Management
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$21/hr–$29/hr
Full-time
high school, associate degree
Posted 63d ago
~40 hrs/week
Responsibilities
Manages financial clearance and patient account management for inpatient and outpatient services, specifically focusing on transplant and donor cases. Ensures payment coverage by analyzing insurance benefits, obtaining pre-certifications, and guiding patients through financial options.
Requirements
Requires a high school diploma and 3 years of related experience, with an associate's degree preferred. Candidates should possess strong communication skills and knowledge of medical coding and insurance regulations.
Full job description
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):
90 Crittenden Blvd, Rochester, New York, United States of America, 14642
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
500183 Health Insurance Counseling
Work Shift:
UR - Day (United States of America)
Range:
UR URCB 206 H
Compensation Range:
$21.97 - $29.66
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 by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Provides accurate financial clearance and patient financial account management related to inpatient and outpatient services. Follows patients through their course of treatment to ensure payment for the service, as well as coverage for the necessary medications and/or post-operative equipment. Responsible for the analysis, validation and regulatory and compliance activities associated with the financial clearance process. Mitigates the financial risk to URMC by performing an accurate financial clearance review along with a comprehensive analysis of patient and payor-specific benefits and patient liability.
ESSENTIAL FUNCTIONS
Creates a professional and effective customer-oriented environment by obtaining pertinent demographic information, explaining insurance benefits and limits, informing patients of the anticipated costs of services, patient liability, and patient responsibilities, explaining billing policies, and discussing financial options. Advises and guides patients on switching insurance carriers, when applicable, to ensure the best coverage for both patient and hospital/provider reimbursement. Assists patients and their family with insurance questions and resolution of billing issues. Performs crisis intervention when financial issues arise pre- and post-treatment.
Obtains benefits and pre-certification along with all other billing requirements. Maintains updated knowledge of hospital contract for in and out-of-network payers. Identifies non-covered hospital services, inquires how the financial obligation will be met, analyzes patient’s financial status and advises patient on the best course of action for payment. Prepares financial packets based on each individual patient’s benefits, financial interview, and calculated estimated expenses. Communicates with Clinical teams to obtain treatment plans and discharge planning to begin the insurance verification process. Processes clinical information required by third party payers in a timely manner. Updates relevant electronic medical records with financial and insurance information on all potential candidates and transplant recipients. Analyzes, organizes, and utilizes complex data and rules related to contracting and patient benefits to provide financial clearance. Set up visits in electronic medical record for anonymous donors who come to SMH for donation. Creates Transplant and Donor guarantors with accompanied bundled billing episodes. Identifies global/bundled billing episode, terms, period in which it is valid, and notifies appropriate URMC parties. Reviews, analyzes and acts upon discrepancies prior to billing. Refers cases to leadership when additional coverage is necessary. Resolves Medicare coordination of benefits discrepancies, as well as prescription coverage issues with Social Security Administration, for reinstatement of benefits.
Oversees a caseload of patients on the wait list and maintains case files in accordance with current state, federal and agency rules. Maintains weekly status of all pending cases and take appropriate action to resolve them. Processes referrals to financially screen potential candidates. Performs monthly re-verification of insurance coverage for waitlisted patients. Responsible for re-approvals when patient approaches approval expiration. Monitors patients to ensure timely application for Medicare, by the end of the 30-month coordination period. Reviews the top 10 liver patients by blood type and updates the liver database with insurance and authorization timeframe.
Reviews Medicare for MSP questions and validations. Ensures compliance with the Office of the Inspector General guidelines by notifying patients of exhausting Medicare benefits and the option to utilize lifetime reserve days. Ensures appropriate documentation is on file for assigned caseload. Obtains all required signatures for payment of hospital services. Ensures patients are financially cleared following UNOS requirements and documentation listed in EPIC. Maintains a thorough knowledge of insurance carriers’ policies and benefit levels as it relates to each specialty.
Works closely with clinical teams in Solid Organ and BMT/CAR-T. Alerts the clinical team of any issues that may impact patient’s ability to undergo the procedure. Works collaboratively with clinical team on authorization denials and inquires on appeal process with the insurance payer. Attends weekly selection committee meetings. Attends quarterly billing meetings to discuss pharmacy, insurance coverage and/or billing problems. Attends the annual educational Transplant Financial Conference on rotation. Monitors and participates in Transplant Financial Coordinator national email listserv. Trains other staff, as assigned by management.
Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
High School diploma or equivalent and 3 years of related experience required
Associate's degree preferred
Or equivalent combination of education and experience
KNOWLEDGE, SKILLS AND ABILITIES
High degree of professionalism and motivation with excellent written and verbal communication and customer service skills required
Ability to work independently, as well as in a team environment required
Flexibility to be on call and work other assigned hours, weekends required
Extensive knowledge and comprehension of ICD-10 and CPT coding, medical terminology, and insurance standards and regulations preferred
Strong computer skills and ability to type 45 words per minute preferred
LICENSES AND CERTIFICATIONS
Position may be subject to membership and certification with the Transplant Financial Coordinators Association upon hire preferred
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.
Learn, Discover, Heal, Create. And Make the World Ever Better. #Meliora
Higher Education Rochester, ny 109,899 followers
Industry
Higher Education
Company size
1,001-5,000 employees
Founded
1850
LinkedIn followers
22
The University of Rochester (UR) is a private, nonsectarian, research-intensive university located in Rochester, New York. The University grants bachelor's, masters, and doctoral degrees through seven schools and various interdisciplinary programs.The University enrolls over 6,000 undergraduates and nearly 5,000 graduate students, and competes in the NCAA's Division III for athletics. The University with its affiliated UR Medicine health system is the largest employer in the Greater Rochester area.
EducationArts and sciencesEngineeringMusicMedicineNursingand Business
How many Customer Service & Support jobs are open in Rochester, NY right now?
There are currently 694 open customer service & support positions in Rochester, NY listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Customer Service & Support roles in Rochester, NY?
Companies currently hiring include University of Rochester, Lowe's Companies, Inc., Starbucks, RIT Packaging and Graphic Media Science, Dollar Tree Stores, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Customer Service & Support jobs in Rochester, NY?
Yes — 42 of the 694 open customer service & support positions offer remote or hybrid work (9 remote, 33 hybrid).
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