Medical Biller

About the Role

Medical Biller

Fully Remote • Rochester, Buffalo, or Syracuse, NY, NY • Revenue Cycle

Job Type

Full-time

Planned Parenthood of Central and Western New York (PPCWNY) protects and provides health care and education that empowers individuals and families. With respect. Without judgment. No matter what. 

In support of PPCWNY’s mission, the Medical Biller II has the overall responsibility to ensure effective billing and collections on all patient accounts. 

Essential Functions

• Reviews all Tasks assigned to the individual/workgroup.

• Aggressively follows up on all unpaid accounts to ensure that the A/R benchmark targets are met or exceeded. 

• Answers patient calls and address questions related to insurance and patient responsibility.

• Works in conjunction with other staff to successfully meet internal goals. 

• Performs all duties in accordance with established agency policies, protocol and the In This Together services ethos, workplace values, and service standards.

• Notifies Billing Manager of any collection or workflow issues.

• Shows respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints and needs

Requirements

Qualifications

Applicants must possess the following qualifications (or equivalent combination of education and experience):

Education

• Associate’s degree in business, accounting, business administration, or a related field or equivalent combination of education and experience

Experience

• Minimum three years of experience in medical billing/collections

• Minimum three years of experience with computerized billing/receivables system and reports

• Experience with EPIC preferred

Certifications

• Ideal candidate will have one of the following certifications, but is not required: Registered Health Information Administrator (RHIA), Certified Health Information Technician (CHIT), Certified Coding Specialist (CCS), Certified Medical Billing Specialist (CMBS), or Certified Professional Coder (CPC)

Knowledge, Skills, & Abilities

• Must be sensitive to patient’s financial and clinical needs while maintaining the patient’s confidentiality

• Experience in insurance guidelines and programs (i.e., Medicaid and Medicare)

• Knowledge of ICD-9/10, HCPCS and CPT codes

• Extensive experience with follow-up on unpaid claims within standard billing cycle timeframes

• Extensive experience with appealing insurance companies for denied claims

• ERA payment posting experience

• Must be able to multi-task and work in a fast-paced environment effectively under deadlines

• Accuracy and attention to detail is essential

• Extensive experience in researching issues and providing resolutions

• Strong analytical and problem-solving skills

• Must be able to work independently and as a team player

• In-depth knowledge of Government and non-Government payer sources

• Experience working with databases and Microsoft Office (i.e., Excel and Word)

• Ability to work a flexible schedule (i.e., early mornings and evenings)

• Must have top-notch customer service and follow-up skills

• Ability to read and interpret medical procedures and terminology

• Planned Parenthood seeks candidates who are proficient in two or more languages 

Working Conditions

• Standard health center environment

• Well-lit/ventilated

Physical Requirements 

• Possess sufficient mobility to perform the Essential Functions listed in this Job Description with or without an accommodation

• Ability to lift 25 pounds with or without an accommodation

• May experience visual fatigue working at computer with potential extended periods of sitting

• Ability to travel to all agency locations as assigned

Work Schedule 

This is a full-time, 40 hour a week, position; regular schedule will be Monday – Friday with occasional evenings and weekends.

Benefits & Compensation

At PPCWNY, we are committed to equitable compensation practices and transparency.  In alignment with these efforts, the pay for this position ranges from $21.89 to $25.36/hour. Actual compensation will be determined by experience and other factors permitted by law.

In addition to competitive compensation, PPCWNY offers an extensive benefits package with generous Paid Time Off, 10 paid holidays, affordable medical, dental, and vision options, Health Savings Account or Flexible Spending Account, 401(k) with match, and much more! 

Salary Description

$21.89 - $25.36 per hour