Medical Billing Representative

Rochester Regional Health; United States; On-site; USD 28,000 - 41,000; Full time

Job summary

Rochester Regional Health is seeking a Medical Billing Representative at the Regional Administrative Campus in a 37.5-hour week, 8am–4pm schedule. The role ensures accurate patient information, charges, billings and timely follow-ups, and prepares/submits claims to insurers through appropriate channels.

Responsibilities include correcting billing edits in Emdeon, navigating Meditech lists, following up on hold/denials, and providing customer service while maintaining HIPAA confidentiality.

Qualifications

• Bachelor Degree and/or 3 years Healthcare billing experience.
• AHIMA/AAPC certification.
• High School Diploma or GED.
• Minimum of one year billing experience in a health care organization.

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%)

Skills

HIPAA compliance

Strong communication

Time management

Organizational skills

Education

Bachelor Degree

AHIMA/AAPC certified

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

• 1. Creating and navigating Meditech account work lists (30%)

1. Correcting billing edits such as Incomplete, Rejection, Medical Review and Hold categories in Emdeon System (30%)

2. Performing consistent internal follow-up regarding bill holds for timely submission of claims (20%)

3. Performing Customer Service related actions (10%)

4. Abiding by productivity standards set by business office leadership (5%)

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

Required Licensure/Certification:

UNION:

1199-200B SEIU (CPH) Clerical

Note: Not all per diem roles are union eligible

PHYSICAL REQUIREMENTS:

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$20.66 - $29.99

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.