Senior Medical Billing & Denials Specialist

Rochester Regional Health; Rochester; On-site; GBP 60,000 - 80,000; Full time

Job summary

A regional healthcare provider is seeking a professional who effectively manages clinical reimbursements and claims. Responsibilities include processing claims, researching denials, and leading team meetings to improve policies. Candidates should have at least two years of healthcare experience, strong communication skills, and knowledge of Medicare and insurance compliance. The position offers a pay range of $19.00 - $22.50 per hour.

Qualifications

• 2 years work experience in a healthcare setting preferred.
• General knowledge of Medicare, Medicaid and insurance compliance issues preferred.
• Familiarity with ICD-9 and CPT/HCPCS codes helpful.
• Proficiency in various computer applications and spreadsheet applications required.

Responsibilities

• Review and process claim edits and claim adjustments.
• Research and resolve claim denials and submit appeals.
• Document actions and ensure follow-up with payers.
• Lead team meetings and update policies based on new procedures.
• Respond to patient complaints regarding claims processing.

Skills

Problem solving

Organizational skills

Communication skills

Analytical skills

Flexibility

Tools

Epic

MS Office

Job description

A regional healthcare provider is seeking a professional who effectively manages clinical reimbursements and claims. Responsibilities include processing claims, researching denials, and leading team meetings to improve policies. Candidates should have at least two years of healthcare experience, strong communication skills, and knowledge of Medicare and insurance compliance. The position offers a pay range of $19.00 - $22.50 per hour.