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Medical Billing Verification Jobs in Rochester, NY

micro1 AI

Medical Billing Specialist

Rochester, NY · Remote

$50 - $80/hr

Medical Writer / Clinical Document Author Role Type: Contractor Location: Remote micro1 is engaging ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

TEKsystems

Billing Assistant

Rochester, NY

$16 - $18.50/hr

Review and verify account and provider information for accuracy and completeness. * Process new ... Familiarity with Electronic Medical Records (EMR) systems, including Epic or similar platforms.

New

TEKsystems

Billing Assistant

Rochester, NY

$16 - $18.50/hr

Review and verify account and provider information for accuracy and completeness. * Process new ... Familiarity with Electronic Medical Records (EMR) systems, including Epic or similar platforms.

New

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All JobsMedical Billing Verification JobsMedical Billing Verification Jobs in Rochester, NY

Medical Billing Verification information

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How much do medical billing verification jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical billing verification in Rochester, NY is $20.24, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $22.31 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical billing verification specialist?

To thrive as a Medical Billing Verification Specialist, you need a solid understanding of medical billing procedures, insurance guidelines, and relevant healthcare terminology, typically supported by a high school diploma or certification in medical billing and coding. Familiarity with electronic health record (EHR) systems, billing software like Epic or Medisoft, and knowledge of HIPAA regulations are crucial. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and resolve discrepancies with insurance companies and healthcare providers. These competencies are vital for reducing claim denials, ensuring timely reimbursements, and maintaining compliance in the healthcare revenue cycle.

What are some common challenges faced in a medical billing verification role and how can they be managed?

One of the main challenges in Medical Billing Verification is ensuring the accuracy and completeness of patient information and insurance details, which can be complicated by frequent changes in coverage and varying payer requirements. Errors or omissions can lead to claim denials or payment delays, so attention to detail and strong organizational skills are essential. Effective communication with healthcare providers, patients, and insurance companies is also crucial, as resolving discrepancies often requires coordination across multiple parties. Staying updated on insurance policies and regulations can help minimize errors and improve claim approval rates.

What is the difference between Medical Billing Verification vs Medical Coding?

AspectMedical Billing VerificationMedical Coding
Primary FocusVerifying insurance coverage, patient information, and billing accuracyAssigning standardized codes to diagnoses and procedures
CredentialsTypically requires medical billing certifications, knowledge of insurance policiesRequires coding certifications like CPC or CCS
Work EnvironmentOffice-based, healthcare facilities, billing companiesOffice-based, healthcare facilities, coding departments
Industry UsageUsed in billing departments to ensure claims accuracyUsed in coding departments for documentation and billing

Medical Billing Verification and Medical Coding are related roles within healthcare billing. Verification focuses on confirming insurance and billing details, while coding involves translating medical services into standardized codes. Both roles require specific certifications and are essential for accurate claims processing, often working closely within healthcare billing teams.

How to become a medical billing verification?

To become a medical billing verification specialist, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Certification such as Certified Professional Biller (CPB) or Certified Coding Associate (CCA) can enhance job prospects, and familiarity with billing software and healthcare regulations is important.

What is medical billing verification?

Medical billing verification is the process of ensuring that a patient's insurance information is accurate and up to date before submitting claims for healthcare services. This step helps to confirm coverage, determine patient benefits, and reduce the likelihood of claim denials or payment delays. Verifying billing details includes checking eligibility, coverage limits, co-pays, deductibles, and any pre-authorization requirements. It is a crucial part of the revenue cycle in healthcare organizations to ensure providers are properly reimbursed for their services.
What are popular job titles related to Medical Billing Verification jobs in Rochester, NY? For Medical Billing Verification jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Medical Billing Verification jobs in Rochester, NY look for? The top searched job categories for Medical Billing Verification jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Medical Billing Verification jobs? Cities near Rochester, NY with the most Medical Billing Verification job openings:
Medical Billing Verification jobs near you

Medical Billing Representative

Rochester Regional Health

Rochester, NY • On-site

$20.26 - $29.40/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 218 frontline employees who took The Breakroom Quiz

304th of 887 rated healthcare providers

Job description

Job Title: Medical Billing Rep
Department: Revenue Cycle
Location: Massena Hospital
Hours Per Week: 40
Schedule: 8a-4p (Mon-Fri)
SUMMARY:
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 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.
  • Claims and Appeals Processing: Submits and follows up on insurance claims; resolves denials and rejections; prepares appeal letters with proper documentation and cross-department coordination.
  • 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.
  • Communication & Customer Service: Answers patient and payer inquiries, verifies insurance eligibility and authorizations, documents account activity, and maintains confidentiality in compliance with HIPAA.
  • Operational Efficiency: Utilizes EMR systems, adheres to productivity benchmarks, meets deadlines, and demonstrates strong organizational, multitasking, and communication skills.

PREFERRED QUALIFICATIONS:
  • Bachelor's degree in healthcare or business administration
  • Experience in medical billing and denials, customer service and relevant finance experience in a health care organization a plus
  • Certification in medical billing

UNION:
CSEA (MH)
Note: Not all per diem roles are union eligible
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. 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.
PAY RANGE:
$20.26 - $29.40
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.

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