Medical Billing & Denials Specialist

Rochester Regional Health

3d • $21 - $30 • Onsite

About The Position

The Medical Billing & Denials Specialist manages the healthcare billing process, submits claims to insurance companies, follows up on unpaid or denied claims, and works to ensure timely reimbursement for healthcare services. The role supports revenue cycle management by identifying denial trends and taking corrective actions.

This position is in the Patient Financial Services department at 6196 U.S 11, Canton, NY 13617. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., for 37.5 hours per week.

The position is sedentary and primarily office-based, involving prolonged sitting and computer, writing, and telephone work. It requires concentration, information processing, independent decision-making, and handling frequent interruptions. Administrative areas in healthcare environments may occasionally involve exposure to infectious agents. Potential accommodations will be considered for reported physical requirements.

Requirements

• High school graduation or equivalent.
• Minimum 1 year of medical billing and denials, customer service, and relevant finance experience in a healthcare organization is described as a plus.
• Strong time-management, organizational, and communication skills.

Nice To Haves

• Bachelor’s degree in healthcare or business administration.
• Certification in medical billing.
• Experience in medical billing and denials, customer service, and relevant finance in a healthcare organization.

Responsibilities

• Submit and track insurance claims; resolve denials and billing edits; process remittances and adjustments; and ensure timely, accurate account resolution in line with payer requirements.
• Review denied or underpaid claims, prepare appeal letters, gather supporting documentation, and collaborate across departments to support successful claim outcomes.
• Respond to patient inquiries, verify insurance eligibility and authorizations, maintain thorough documentation, and communicate across Revenue Cycle teams.
• Maintain HIPAA confidentiality, meet productivity benchmarks, stay current with billing policies, and manage workload using time-management, organizational, and communication skills.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED