Medical Billing Representative

Rochester Regional Health; Canton (OH); On-site; USD 28,000 - 41,000; Full time

Job summary

Rochester Regional Health in Canton, OH, seeks a Medical Billing Representative to join the Patient Financial Services team on the Regional Administrative Campus. The role supports submitting claims, retrieving payer status, and ensuring timely payments with strict HIPAA adherence.

The position requires a High School diploma or GED, 1 year of healthcare billing experience, and preferred AHIMA/AAPC certification. Strong communication and organizational skills are essential.

Qualifications

• High School Diploma or GED with at least one year of medical billing experience.
• Bachelor degree and/or 3 years healthcare billing experience.
• AHIMA/AAPC certification preferred.
• Strong organizational and communication skills; HIPAA compliance required.

Responsibilities

• Creating and navigating Meditech account work lists.
• Correcting billing edits in Emdeon System (Incomplete, Rejection, Medical Review, Hold).
• Performing consistent internal follow-up regarding bill holds for timely submission of claims.
• Performing Customer Service related actions.
• Abiding by productivity standards set by business office leadership.
• Reading and understanding patient medical records and ensuring HIPAA confidentiality.

Skills

HIPAA compliance

Verbal communication

Written communication

Time management

Organizational skills

Customer service

Education

Bachelor Degree

AHIMA/AAPC certification

Tools

Meditech

Emdeon

Job description

Job Title: Medical Billing Representative
Department: Patient Financial Services
Location: Regional Administrative Campus
Hours Per Week: 37.5
Schedule: 8am - 4pm

Summary:
The MBS ensures that all patient information, charges, billings and follow-ups are accurate, complete and timely. The medical billing specialist will be responsible for Preparing and submitting claims to various insurance companies through appropriate channels. As a MBS you are responsible to retrieve status information from payer websites, make minor corrections to patient account information as needed to ensure timely payments as well as follow each account through resulting in complete account resolution. Good organizational, time management and multitasking abilities. Excellent verbal and written communication as well as the ability to meet strict deadlines. Maintaining strict confidentiality by adhering to all HIPAA guidelines and regulations is mandatory for this position.

RESPONSIBILITIES

• Creating and navigating Meditech account work lists (30%)
• Correcting billing edits such as Incomplete, Rejection, Medical Review and Hold categories in Emdeon System (30%)
• Performing consistent internal follow-up regarding bill holds for timely submission of claims (20%)
• Performing Customer Service related actions (10%)
• Abiding by productivity standards set by business office leadership (5%)
• Reading and understanding patient medical records and ensuring HIPAA confidentiality (5%)

Desired Attributes

• Bachelor Degree and/or 3 years Healthcare billing experience
• AHIMA/AAPC certified.

Minimum Qualifications

• High School Diploma or GED
• Minimum of one year billing experience in a health care organization

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $20.66 - $29.99