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: 500011 Patient Financial Services Work Shift: UR - Day (United States of America) Range: UR URCA 206 H Compensation Range: $21.71 - $29.31 _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:** The Revenue Cycle Coordinator IV is responsible for monitoring, reviewing and resolving system billing edits/Stop bills for unbilled hospital accounts that require intervention from PFS prior to billing. Assures edits are resolved timely through an expediated review and claim submission to payers to prevent the loss of reimbursement, reduce overall AR and days in AR. Schedule 7:30 AM-4 PM Responsibilities Job Summary: The Revenue Cycle Coordinator IV is responsible for monitoring, reviewing and resolving system billing edits/Stop bills for unbilled hospital accounts that require intervention from PFS prior to billing. Assures edits are resolved timely through an expediated review and claim submission to payers to prevent the loss of reimbursement, reduce overall AR and days in AR. Additionally, the Revenue Cycle Coordinator IV reviews and monitors unresolved edits from non-PFS departments to assure timely submission of unbilled claims. This position requires flexibility and the ability to function in an evolving and ever-changing environment. The Lead AR Coordinator serves as a liaison between Patient Financial Services and other hospital/professional departments regarding unbilled accounts. Supervision and Direction Exercised: This position performs under the general direction of the Manager, with significant latitude for independent initiative and judgment. Key functions/responsibilities: Responsibilities include, but are not limited to: 35% Resolve accounts on Epic Edit Work ques utilizing accepted billing guidelines. - Research edits and utilize knowledge of billing requirements, Epic workflows and specific payor requirements to resolve edits and assures claims are released to bill timely - Take appropriate system actions on accounts based on billing guidelines, record research as well as any interaction needed with the clinical department to resolved the edit/stop bill 25% Daily Tracking/Monthly reporting - Track daily trends in remaining edits/stop bills by Workques (WQ) to observe trends and achievements in reducing WQ outstanding volumes - Report worked and resolved edits/stop bills, highlighting any new edits, trends or departments with backlogs for that time period to the Manager to provide feedback to the appropriate URMC or HH departments to assist with operational improvements. - Track monthly trends in reduction of specific write-offs codes to assure processes and communication are effective in reducing these write-offs. 20% Enhancement of processes and procedures in unbilled accounts - Provide on-going documentation of proposed changes to processes both within PFS and with other hospital departments to support reduction of edits from being created by consistently evaluating root causes of errors which cause claims to be delayed 15% Act as the liaison between PFS and PFS Systems Group to investigate and resolve new edits or negative trends (increases) in specific edits 5% Utilize in-depth knowledge of payer contracts and reimbursement methodologies to address credit balances as needed Qualifications: Associates degree in business field and 4 - 5 years' experience in hospital billing, accounting, coding and/or customer service or an equivalent combination of education and experience. Note: This document describes typical duties and responsibilities and is not intended to limit managers from assigning other work as required. **EOE Minorities / Females / Protected Veterans / Disabled:** 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. Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. **Learn. Discover. Heal. Create.** Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals At the University of Rochester, we commit to diversity, equity, and inclusion and united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.