Revenue Cycle Billing & Denials Specialist

Rochester General Hospital; United States; On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Union representation 1199-200B SEIU

Job summary

Rochester Regional Health seeks a Medical Billing & Denials Specialist for the Patient Accounting department at the Canton, NY campus. The role involves managing claims, pursuing denials, and ensuring timely reimbursement within HIPAA guidelines.

Responsibilities include submitting/tracking claims, performing appeals, handling patient inquiries, and maintaining accurate documentation across Revenue Cycle teams.

Qualifications

• High school graduate or equivalent.
• Bachelor's degree in healthcare or business administration.
• Minimum 1 year medical billing and denials, customer service and relevant finance experience in a health care organization a plus.
• Certification in medical billing.

Responsibilities

• Submit and track insurance claims, resolve denials and billing edits, process remittances and adjustments.
• Conduct detailed reviews of denied or underpaid claims, prepare appeal letters, gather supporting documentation.
• Respond to patient inquiries, verify insurance eligibility and authorizations, document clearly across Revenue Cycle teams.
• Maintain HIPAA confidentiality, meet productivity benchmarks, stay current with billing policies, manage workload with time management, organization, and communication skills.

Skills

Customer service

Communication

Time management

Attention to detail

Education

Bachelor's degree in healthcare or business administration

High school diploma or equivalent

Job description

Rochester Regional Health seeks a Medical Billing & Denials Specialist for the Patient Accounting department at the Canton, NY campus. The role involves managing claims, pursuing denials, and ensuring timely reimbursement within HIPAA guidelines.

Responsibilities include submitting/tracking claims, performing appeals, handling patient inquiries, and maintaining accurate documentation across Revenue Cycle teams.