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- Tasks: Manage medical billing, submit claims, and resolve denials for timely reimbursements.
- Company: Join a leading healthcare organisation focused on patient financial services.
- Benefits: Competitive pay, supportive work environment, and opportunities for professional growth.
- Why this job: Make a difference in healthcare by ensuring accurate billing and helping patients navigate their insurance.
- Qualifications: High school diploma or equivalent; experience in medical billing is a plus.
- Other info: Flexible hours with a focus on teamwork and communication.
The predicted salary is between 20.66 - 29.99 £ per hour.
A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims, and ensuring timely reimbursement for healthcare services. This role plays a critical part in the revenue cycle management of the healthcare organization by identifying trends in denials and taking corrective actions.
RESPONSIBILITIES
- Medical Billing & Claims Management: Submit and track insurance claims, resolve denials and billing edits, process remittances and adjustments, and ensure timely and accurate account resolution in line with payer requirements.
- Appeals & Reimbursement Review: Conduct detailed reviews of denied or underpaid claims, prepare appeal letters, gather supporting documentation, and collaborate across departments to ensure successful claim outcomes.
- Customer Service & Communication: Respond to patient inquiries, verify insurance eligibility and authorizations, and maintain thorough documentation while ensuring clear communication across Revenue Cycle teams.
- Compliance & Operational Excellence: Maintain HIPAA confidentiality, meet productivity benchmarks, stay current with billing policies, and manage workload with strong time management, organization, and communication skills.
PREFERRED 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
PHYSICAL REQUIREMENTS
S - Sedentary Work - Exerting up to 10 pounds of force occasionally. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
PAY RANGE $20.66 - $29.99
Medical Billing & Denials Specialist in Rochester employer: Rochester Regional Health
Contact Detail:
Rochester Regional Health Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Medical Billing & Denials Specialist in Rochester
✨Tip Number 1
Network like a pro! Reach out to folks in the healthcare industry, especially those in billing and denials. A friendly chat can lead to insider info about job openings that aren’t even advertised yet.
✨Tip Number 2
Prepare for interviews by brushing up on your knowledge of medical billing processes and common denial reasons. We want you to shine when discussing how you’d tackle those tricky claims!
✨Tip Number 3
Don’t forget to showcase your customer service skills! Being able to communicate effectively with patients and insurance companies is key, so have examples ready to share during your chats.
✨Tip Number 4
Apply through our website! It’s the best way to ensure your application gets seen by the right people. Plus, we love seeing candidates who take that extra step to connect with us directly.
We think you need these skills to ace Medical Billing & Denials Specialist in Rochester
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights your experience in medical billing and denials. We want to see how your skills match the job description, so don’t be shy about showcasing relevant achievements!
Craft a Compelling Cover Letter: Your cover letter is your chance to shine! Use it to explain why you’re passionate about the role and how your background makes you the perfect fit for our team at StudySmarter.
Showcase Your Communication Skills: Since this role involves a lot of communication, make sure to demonstrate your ability to convey information clearly in your application. We love candidates who can articulate their thoughts well!
Apply Through Our Website: We encourage you to apply directly through our website. It’s the best way for us to receive your application and ensures you don’t miss any important updates from our team!
How to prepare for a job interview at Rochester Regional Health
✨Know Your Stuff
Make sure you brush up on medical billing processes and common denial reasons. Familiarise yourself with the specific insurance companies you'll be dealing with, as well as any relevant regulations like HIPAA. This knowledge will show that you're serious about the role and ready to hit the ground running.
✨Showcase Your Problem-Solving Skills
Prepare examples of how you've successfully resolved billing issues or denials in the past. Think about specific cases where you identified trends and took corrective actions. This will demonstrate your analytical skills and ability to improve processes, which is crucial for this position.
✨Communication is Key
Since this role involves a lot of interaction with patients and other departments, practice clear and concise communication. Be ready to discuss how you handle patient inquiries and collaborate with teams to resolve claims. Good communication can set you apart from other candidates.
✨Time Management Matters
Given the workload and productivity benchmarks mentioned in the job description, be prepared to talk about how you manage your time effectively. Share strategies you've used to stay organised and meet deadlines, as this will highlight your ability to thrive in a busy environment.