Business Office Representative - Senior

Park Ridge Child Care Center Inc

Rochester, NY, US
Base: $19.00 - $22.50; bonus/equity: not specified...
Not specified
Review and process claim edits in system workqueue
Research and resolve claim denials via payer websites
Submit corrected claims and appeals to insurance payers
The posting is for a Senior Business Office Representative at Park Ridge Child Care Center Inc in Rochester, NY. The role involves managing receivables for clinical services, ensuring accurate claim submissions, and supporting team processes while addressing denial issues

Job Summary

  • The role ensures full reimbursement for clinical services by effectively managing receivables and resolving claim edits.
  • Senior team members are expected to create documentation for new processes and support denial analyses to improve business operations.
  • The position requires expert use of Epic software and insurance websites to resolve coverage issues and patient complaints.

Matching Summary

Match Score: 75

The posting is for a Senior Business Office Representative at Park Ridge Child Care Center Inc in Rochester, NY. The role involves managing receivables for clinical services, ensuring accurate claim submissions, and supporting team processes while addressing denial issues.

Salary

Base: $19.00 - $22.50; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Review and process claim edits in system workqueue
  • Research and resolve claim denials via payer websites
  • Submit corrected claims and appeals to insurance payers

Nice-to-have

  • Create and document new billing processes
  • Support denial trend analyses and special projects
  • Lead team meetings on procedures and system updates

Key Requirements

  • 2 years work experience in a healthcare setting preferred
  • Proficient working knowledge of assigned receivable systems
  • Familiarity with ICD-9, CPT, and HCPCS codes helpful

Work Rights

Not specified

Tailored Resume

Cover Letter