Medical Biller at Planned Parenthood CWNY

City of Rochester, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Jun, 26

Salary

25.36

Posted On

17 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Collections, Patient Calls, Insurance Guidelines, Medicaid, Medicare, ICD-9/10, HCPCS, CPT Codes, Unpaid Claims Follow-up, Appealing Denied Claims, ERA Payment Posting, Researching Issues, Problem-Solving, Customer Service, Bilingual Proficiency

Industry

Hospitals and Health Care

Description

Description Medical BillerAffiliate Wide (Buffalo, Rochester, or Syracuse, NY) 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! Planned Parenthood of Central and Western New York is an equal opportunity employer.

Responsibilities

The Medical Biller II is responsible for ensuring effective billing and collections across all patient accounts, which includes aggressively following up on unpaid accounts to meet A/R targets. This role also involves addressing patient inquiries regarding insurance and patient responsibility while adhering to agency policies and service standards.