Billing Quality Specialist Ibero-American Action League, Inc.Billing Quality SpecialistRochester, NYSummary: Under the supervision of the Senior Director of Quality & Performance, the Billing Quality Specialist is responsible for conducting pre-billing quality reviews to ensure that billing documentation is accurate, complete, timely, and compliant prior to submission by Finance. This position supports billing integrity by reviewing program documentation, identifying missing or insufficient information, communicating findings to program leadership, and ensuring corrective follow-up occurs before claims are released for billing.
Billing Specialist (Hybrid) St. Anns CommunityBilling Specialist (Hybrid)Rochester, NY$17.50–$21.90 / hourCore Tasks Credentialing and Insurance Enrollment: Maintain provider rostersCandidate Requirements: Local candidates onlyAssociate's Degree with One (1) to Two (2) years of billing and computer experienceMedical Billing Certification preferredKnowledge of Medical Billing or equivalent RequiredMust obtain Medical Billing certification within one year of employment. Job Description: Prepares and submits billing claims which include posting monthly receipts and adjustments, reconciling receipts, preparing refunds, and processing monthly statements.
Lab Registration and Billing Specialist - RGH (Full-Time, Days) Rochester Regional Health SystemLab Registration and Billing Specialist - RGH (Full-Time, Days)Rochester, NY$18.75–$23 / hourThe Lab Registration and Billing Specialist supports the RGH Department of Pathology and Laboratory Medicine team by ensuring accurate discharge of all medical reports using multiple distribution methods to achieve this goal. In addition, works closely with the Laboratory Charge Capture and Compliance team to ensure all orders result in accurate and timely billing for any services rendered in compliance with regulatory and accreditation requirements.
Medical Billing Representative Rochester Regional Health SystemMedical Billing RepresentativeNY$20.66–$29.99 / hourAs a MBS you are responsible to retrieve status information from payer websites, make minor corrections to patient account information as needed to ensure timely payments as well as follow each account through resulting in complete account resolution. EDUCATION: LICENSES / CERTIFICATIONS: 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.
Collections Billing Associate KPH Healthcare ServicesCollections Billing AssociateRochester, New York$18–$22 / hourFull timeCustomer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately. Overview: Scope of Responsibilities : The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances.
Medical Billing Specialist CareerscapeMedical Billing SpecialistRochester, NY$19–$24 / hourTemporaryThis role supports claims processing during a period of increased patient volume and involves close coordination with insurance payers, front-office staff, and the accounting department. The position requires accuracy in coding and claims submission, familiarity with insurance reimbursement processes, and the ability to manage a high volume of accounts.
Lab Registration and Billing Specialist - RGH (Full-Time, Days) Rochester Regional HealthLab Registration and Billing Specialist - RGH (Full-Time, Days)Rochester, New YorkThe Lab Registration and Billing Specialist supports the RGH Department of Pathology and Laboratory Medicine team by ensuring accurate discharge of all medical reports using multiple distribution methods to achieve this goal. In addition, works closely with the Laboratory Charge Capture and Compliance team to ensure all orders result in accurate and timely billing for any services rendered in compliance with regulatory and accreditation requirements.
Medical Billing & Denials Specialist Rochester Regional Health SystemMedical Billing & Denials SpecialistNY$20.26–$29.40 / hourAppeals & 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. 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.
Collections Billing Associate Health DirectCollections Billing AssociateRochester, New York$18–$22 / hourFull timeCustomer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately. Overview: Scope of Responsibilities : The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances.
NewBilling Specialist Beacon Solutions GroupBilling SpecialistRochester, New YorkThis person will provide billing services and general revenue cycle services to health care clients including nursing home, professional, hospital, D&TC, OPWDD, OASAS, home health, legal and third party payers. The ideal candidate for this positon has experience with behavioral health billing, insurance claims, Medicaid/Medicare, commercial payers, and electronic health records (EHR) or practice management systems .
Medical Billing Representative Rochester Regional HealthMedical Billing RepresentativeRochester, NY$20.26–$29.40 / hourRESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management, and knowledge of medical terminology, physician fee schedules, DRGs, and reimbursement procedures. + Account Management & Collections: Retrieves and updates patient account statuses, processes remittances, manages A/R, ensures accurate charge entry, and performs financial analysis to support revenue goals.
Billing Specialist Bonadio & Company LLPBilling SpecialistRochester, NY$21–$26 / hourThis person will provide billing services and general revenue cycle services to health care clients including nursing home, professional, hospital, D&TC, OPWDD, OASAS, home health, legal and third party payers. At The Bonadio Group, we believe that an inclusive work environment allows all of our people to achieve their greatest potential and the greatest results for our clients and communities.
Representative - Customer Billing IberdrolaRepresentative - Customer BillingRochester, New YorkSkills/Abilities: Knowledge of the Company billing policies, practices, rate applications and service orders as required to resolve billing issues and/or accurately calculate bills and have demonstrated the ability to perform all Job Requirements as indicated within this Skills/Abilities section along with meeting all other experience/training and education requirements indicated below or the demonstrated ability to learn. The essential duties of the Customer Billing Representative include review and analysis of company meter reading/consumption data and customer bills, correction of device, billing and invoicing errors, and processing of billing adjustments as needed to complete rate changes and/or corrections to unmetered services.
Coding & Compliance Specialist Thompson HealthCoding & Compliance SpecialistCanandaigua, NY$20–$25 / hourCoordinates and conducts periodic medical record audits for providers to assess compliance with coding (over/under coding, trends), billing, documentation, and payer regulations. Proficient in the use of Electronic Medical Records (EMR); ability to create reports on own and interface with EMR vendor to develop reports where none currently exist.
Coding & Compliance Specialist UR Medicine Thompson HealthCoding & Compliance SpecialistCanandaigua, New York$20–$25 / hourCoordinates and conducts periodic medical record audits for providers to assess compliance with coding (over/under coding, trends), billing, documentation, and payer regulations. Proficient in the use of Electronic Medical Records (EMR); ability to create reports on own and interface with EMR vendor to develop reports where none currently exist.
Medical Coding Specialist Trillium Health IncMedical Coding SpecialistRochester, NYThe Medical Coding Specialist collaborates closely with providers, billing staff, and other members of the healthcare team to clarify documentation, resolve coding issues, and promote best practices in clinical documentation and coding accuracy. Under the supervision of the Director of Revenue Cycle and Billing, this role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including those specific to Federally Qualified Health Centers (FQHCs).
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Rochester, NYRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Clm Resltion Rep III, Hosp/Prv University of RochesterClm Resltion Rep III, Hosp/PrvRochester, New YorkWith general direction of the Manager/Supervisor/Lead: 40% Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services. Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910402 United Business Office Work Shift: UR - Day (United States of America) Range: UR URCA 205 H Compensation Range: $20.30 - $27.41
Financial Assistance Rep - Business Office Thompson HealthFinancial Assistance Rep - Business OfficeCanandaigua, NY$18.71–$23 / hourMain Function: The Financial Assistance Representative will be responsible for working with patients via telephone to answer billing questions and secure payment or payment arrangements for self-pay accounts working in conjunction with UR Medicine Affiliate Billing Office Customer Service Team. The Financial Assistance Representative will be responsible to receive, log and respond to all Financial Assistance inquiries and requests from both internal and external customers concerning the status of the accounts and unpaid balances for services rendered the EPIC system and across Service Area 111.
Financial Assistance Rep - Business Office UR Medicine Thompson HealthFinancial Assistance Rep - Business OfficeCanandaigua, New YorkThe Financial Assistance Representative will be responsible for working with patients via telephone to answer billing questions and secure payment or payment arrangements for self-pay accounts working in conjunction with UR Medicine Affiliate Billing Office Customer Service Team. The Financial Assistance Representative will be responsible to receive, log and respond to all Financial Assistance inquiries and requests from both internal and external customers concerning the status of the accounts and unpaid balances for services rendered the EPIC system and across Service Area 111.