Lead Billing/Acct Spec

Rochester, NY



Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are required. Remote location must be within 2 hours of RTP and within New York State.

Position Summary:

With latitude for initiative and judgment the Lead Billing/Accounting Specialist is responsible for the accurate and timely reconciliation of hospital denials and edits, create registrations, interacts with internal and external auditors and department managers, reconciles credit balances, and maintains accurate records of all data collected. The Lead Billing/Accounting Specialist will represent the department and hospital in a professional manner, protecting confidentiality of patient information at all times.

Supervision and Direction Exercised:

Responsible for monitoring own performance on assigned tasks against procedure standards. This position functions as a backup to the Operations Supervisor position and therefore provides backup guidance and direction. There are no direct supervisory responsibilities. May train and coordinate activities of peers as directed by Operations Supervisor and Manager.

Machines and Equipment Used:

Standard office equipment, including but not limited to desktop computer, Epic billing system for both Hospital and Medical Faculty Group, Soft billing system, Microsoft Office products, Email telephone, photocopy machine and a variety of payer websites.

Typical Duties:

35% Work assigned reports and work queues that target particular areas of the aged AR. Independently balance your workflow between collecting/fixing and adjustment.

25% Perform quality assurance monitoring for all activities performed/completed in the areas of responsibility. Using specific criteria, measure quality, quantity and timeliness of task performed. Prepare logs and management reports. Identify trends of specific problems and recommends corrective action.

  • Resolve problems and bring errors to appropriate personnel and actively participate in training to reduce future errors

15% Coordinate various activities of the area

  • Assist with training new employees and cross-training existing staff.

10% Recognize high priority accounts and work with the Operations Supervisor and Manager to identify and escalate according to department procedures. This could include provider representative meetings and logs and PSR emails/phone calls.

5% Function as a backup to the Operations Supervisor position

  • Act as support to staff by answering questions and providing direction in the Operations Supervisor and Manager’s absence

5% Perform duties of other staff in the area as needed

5% Other Duties as Assigned

  • Perform coverage for other positions and any other duties of similar scope and complexity in regular combination with this position


  • Participate in department/team staff meetings, educational classes and training

  • Attend monthly department and team staff meetings

  • Stay current on HIPAA guidelines through education and reading monthly emails.

  • Participate in educational training such as Strong Commitment ICare and Yearly Mandatory In Service

  • Cross Train on team processes to enable assistance and fill in as needed


Associates degree in Business Administration and 4-5 years of hospital patient accounting or consumer collections experience; or an equivalent combination of education and experience or certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and experience.

NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $18.50 - $24.71 Hourly

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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Location: Strong Memorial Hospital
Full/Part Time: Full-Time