Revenue Cycle Denials & Appeals Specialist

Rochester Regional Health; United States; Presencial; USD 28.000 - 41.000; Jornada completa

Descripción de la vacante

Rochester Regional Health is seeking a Medical Billing & Denials Specialist in Canton, NY to ensure accurate, complete, and timely patient accounts. The role submits claims, tracks denials, and coordinates across departments to compile documentation for appeals.

The position requires 1 year of medical billing/denials experience; high school diploma or Bachelor's in healthcare/business; HIPAA compliance and strong communication are essential.

Formación

• High school graduate or equivalent; Bachelor's degree in healthcare or business administration preferred.
• Minimum 1 year medical billing and denials, customer service and relevant finance experience in a health care organization a plus.
• Certification in medical billing/union: 1199 SEIU (GH) note: some per diem roles may not be union eligible.

Responsabilidades

• 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 and gather supporting documentation.
• Respond to patient inquiries, verify insurance eligibility and authorizations, and maintain documentation for Revenue Cycle teams.
• Maintain HIPAA confidentiality and meet productivity benchmarks; manage workload with time management and organization.

Conocimientos

Customer service

Communication

Time management

Educación

High school graduate or equivalent

Bachelor's degree in healthcare or business administration

Descripción del empleo

Rochester Regional Health is seeking a Medical Billing & Denials Specialist in Canton, NY to ensure accurate, complete, and timely patient accounts. The role submits claims, tracks denials, and coordinates across departments to compile documentation for appeals.

The position requires 1 year of medical billing/denials experience; high school diploma or Bachelor's in healthcare/business; HIPAA compliance and strong communication are essential.