Collections & Denials Management Representative

Collections & Denials Management Representative

Join to apply for the Collections & Denials Management Representative role at Rochester Regional Health
.

The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.

STATUS: Full Time

LOCATION: SLH - Regional Administrative Campus

DEPARTMENT: Patient Financial Services

SCHEDULE: 8am-4pm

• Basic knowledge of medical billing, medical claims processing, and accounts receivable collections.
• Ability to learn and understand medical billing protocol and reimbursement issues.
• Work within Meditech and Emdeon to identify denial trends.
• Responsible for locating and monitoring overdue third party accounts to prevent write-offs.
• Comfortable working under tight deadlines.
• Ability to analyze and troubleshoot billing concerns and communicate concerns with management.

Union: B Clerical Workers (CPH)

Note:

Not all per diem roles are union eligible.

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.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

$19.86 - $28.82

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.