Job Description
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
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