Medical Billing & Denials Specialist
Rochester Regional Health
•$21 - $30•Onsite
About The Position
The Medical Billing & Denials Specialist manages billing processes, submits claims to insurance companies, follows up on unpaid or denied claims, and supports timely reimbursement for healthcare services. The role contributes to revenue cycle management by identifying denial trends and taking corrective action. The position is in the Patient Accounting department at SLH - Regional Administrative Campus, 6196 U.S. 11, Canton, NY 13617. The schedule is Monday through Friday, 8:00 a.m. to 4:00 p.m., for 37.5 hours per week.
Requirements
- High school graduate or equivalent.
- Strong time management, organization, and communication skills.
Nice To Haves
- Bachelor’s degree in healthcare or business administration.
- At least 1 year of medical billing and denials, customer service, and relevant finance experience in a healthcare organization.
- Certification in medical billing.
Responsibilities
- Submit and track insurance claims.
- Resolve denials and billing edits.
- Process remittances and adjustments.
- Ensure timely and accurate account resolution in accordance with payer requirements.
- Review denied or underpaid claims, prepare appeal letters, and gather supporting documentation.
- Collaborate across departments to support successful claim outcomes.
- Respond to patient inquiries and verify insurance eligibility and authorizations.
- Maintain thorough documentation and communicate clearly across Revenue Cycle teams.
- Maintain HIPAA confidentiality, meet productivity benchmarks, and stay current with billing policies.
- Manage workload using strong time management and organizational skills.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
