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):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500160 Pharmacy SMH

Work Shift:

UR - Day (United States of America)

Range:

UR URC 206 H

Compensation Range:

$20.99 - $28.34

Responsibilities:

This position will be responsible for compliance, auditing, reporting and general operational support for Ambulatory Pharmacy Services with a focus on
Plans, organizes and conducts operations that affect Pharmacy revenue cycle, such as billing, collections, and payment processing. Recommends and implements processes to meet revenue cycle goals in collaboration with pharmacies. Conducts related training, monitoring, analysis and reporting on revenue cycle processes and results. Recommends and implements pharmacy-specific process improvement recommendations.

ESSENTIAL FUNCTIONS

• Employee will have a high level of familiarity with Willow Ambulatory Point of Sale system, part of the EPIC software platform and be able to apply knowledge to Resolve accounts on work queues relevant to the ambulatory Pharmacies. Researches accounts held from billing, and reviews flagged accounts and research documentation to ensure accuracy. Takes appropriate system actions on accounts based on billing guidelines and record research.
• Within EPIC post electronic files, self-pay payments, third-party commercial payments, reverse charge off accounts sent to the collection agency, manual insurance payments, denials, credit card payments and authorization. Processes patient refunds, as needed.
• Using telephone and electronic communication methods such as MyChart and programs not yet rolled out such as Hello World to respond to incoming questions and solves problems for difficult and unusual accounts. Troubleshoots problem identification, quantification, and resolution. Assists with the development of monthly schedule, outlining individual duties and responsibilities, including but not limited to, electronic file processing, manual payment posting, refunding, Self-Pay and CC Payments. Enters problems, employee errors, transactions and questions into respective databases and follows issues through to resolution.
• Provides support regarding payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance reports issued by external partners. Reconciles client billing on a monthly basis. Assists with credit balance work queues as needed.
• Recommends improvements to policies and procedures. Assists with the review of existing policy and procedure manuals.
• Other duties as assigned

MINIMUM EDUCATION & EXPERIENCE

• Associate's degree and 1 year of relevant experience required
• Or equivalent combination of education and experience required
• Pharmacy or Medical Billing Experience preferred

KNOWLEDGE, SKILLS AND ABILITIES

• Must be able to work independently and communicate fluently via email, phone, and in-person required

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LICENSES AND CERTIFICATIONS

• Pharmacy Technician Certification 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.