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Senior Patient Account Representative Jobs in Rochester, NY

USI Insurance Services

EB Account Manager

Rochester, NY · On-site

The EB Senior Account Manager is responsible for managing our largest and most complex employee ... Represent client interests in internal account strategy discussions and coordinate engagement with ...

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Senior Patient Account Representative information

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$14

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$64

How much do senior patient account representative jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for senior patient account representative in Rochester, NY is $24.67, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $25.38 per hour, depending on experience, location, and employer.

What does a senior patient account representative do?

A Senior Patient Account Representative is responsible for managing patient billing accounts, processing payments, resolving billing issues, and communicating with patients and insurance companies regarding outstanding balances. They often handle complex cases, mentor junior staff, and ensure compliance with healthcare regulations. Their goal is to maintain accurate financial records while providing excellent customer service to patients throughout the billing process.

What are the key skills and qualifications needed to thrive as a senior patient account representative?

To thrive as a Senior Patient Account Representative, you need a solid understanding of medical billing, insurance claims, and patient account management, often backed by experience in healthcare finance or a related associate degree. Familiarity with billing software, electronic health record (EHR) systems, and regulatory compliance such as HIPAA is crucial. Strong communication, problem-solving, and attention to detail help you effectively resolve account issues and provide excellent customer service. These skills ensure accurate processing of patient accounts, timely reimbursements, and a positive financial experience for both patients and healthcare providers.

What are some common challenges senior patient account representatives face when handling complex billing issues?

Senior Patient Account Representatives often encounter challenges such as resolving discrepancies in patient accounts, navigating insurance denials, and communicating complex billing information to patients and providers. These situations require strong problem-solving skills, attention to detail, and the ability to remain calm and empathetic while addressing patient concerns. Collaborating closely with other departments, such as medical coding and insurance verification teams, is essential to ensure accurate and timely account resolution.

What is the difference between Senior Patient Account Representative vs Patient Account Representative?

AspectSenior Patient Account RepresentativePatient Account Representative
CredentialsHigh school diploma or equivalent; experience in billing and coding; sometimes certifications like CPC or CPARHigh school diploma or equivalent; basic knowledge of billing and insurance processes
Work EnvironmentHospitals, clinics, healthcare billing offices; more complex casesSimilar settings; handling routine billing and patient inquiries
ResponsibilitiesOverseeing complex accounts, mentoring staff, resolving escalated issuesProcessing payments, verifying insurance, answering patient questions

The Senior Patient Account Representative typically handles more complex billing issues, supervises junior staff, and requires more experience or certifications. The Patient Account Representative focuses on routine billing tasks and patient interactions. Both roles are essential in healthcare revenue cycle management, but the senior position involves greater responsibility and expertise.

What are the most commonly searched types of Patient Account Representative jobs in Rochester, NY?

The most popular types of Patient Account Representative jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Senior Patient Account Representative jobs?

Cities near Rochester, NY with the most Senior Patient Account Representative job openings:

Senior Patient Account Representative jobs near you
Infographic showing various Senior Patient Account Representative job openings in Rochester, NY as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 19% Part Time, and 10% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $51,306 per year, or $24.7 per hour.

Business Office Representative - Senior

Rochester, NY • On-site

Rochester Regional Health
Hospitals • 10K+ employees

7.3

Company rating: 7.3 out of 10

Based on 219 frontline employees who took The Breakroom Quiz

304th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Rochester Regional Healthexternal

$19 - $22.50/hr

Full-time

Re-posted 3 days ago

Job description

Job Title: Business Office Representative - Senior
Department: Patient Accounts
Location: Riedman Campus, 100 Kings Highway, Rochester NY 14617
Hours Per Week: 40
Schedule: Full-Time, Day-Shift, Monday- Friday , 8:00am - 4:30pm
Position Summary:
Ensure full reimbursement is received by RRH for clinical services rendered including professional, long-term/home care and hospital care, by effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to secure payment. As a Senior team member, create and document new processes and support denial analyses. Work as part of a dynamic team continually looking for ways to improve a complex business process.
Key Responsibilities:
  • Review and accurately process claim edits in a system workqueue. Accurately handle claim adjustments and coverage changes as needed.
  • Review and process claim denials according to established processes. Research and resolve denial issues via the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals.
  • Process account adjustments and refunds as needed according to department policy and procedure.
  • Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses. Manage large workload using tracking tools to ensure we don't fail to follow-up before a payer's deadline.
  • Help lead team meetings which review new procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical programs and payer policy changes. Answer staff questions about processes and problem resolution.
  • Acquire and maintain knowledge of system terminology, claim/denial/coverage concepts and terms, and relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them using the tools in Epic, including accessing clinical documentation and authorization details.
  • Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact insurance as needed. Coordinate resolution with Customer Service staff.
  • Create and maintain documentation of billing processes to support audits and training. Support denial trend analyses and special projects.
  • Work directly with outside departments to assure authorizations, medical records, and appeals are accurate and timely

Desired Attributes
i. 2 years work experience in a healthcare setting preferred
ii. Proficient working knowledge of assigned receivable systems
iii. General knowledge of Medicare, Medicaid and insurance compliance issues preferred
iv. Familiarity with ICD-9 diagnosis and procedure codes as well as CPT/HCPCS codes helpful
v. Knowledge of UBO4 billing form and 1500F05 specific payor requirements preferred
vi. Proficiency in a variety of computer applications and spreadsheet applications and common office equipment
vii. Excellent problem solving, organizational and oral and written communication skills required
viii. Strong communication, analytical and PC skills highly desired
ix. Excellent interpersonal, organizational, communication, attention to detail and follow through skills
x. Flexibility and ability to work as a team player and to handle simultaneous tasks
xi. Successful completion of annual age and job specific competencies and skill verification tools required
Minimum Qualifications:
• None
Required Licensure/Certification Skills:
• None
Rochester General Health System is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
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:
$19.00 - $22.50
CITY:
Rochester
POSTAL CODE:
14617
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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