Medical Biller at RPCI Oncology PC

Town of Amherst, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

22.5

Posted On

06 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Charge Entry, Medical Claims Submission, Accounts Receivable Management, Insurance Inquiries, Claim Preparation, Electronic Claims Transmission, Paper Claims Transmission, Payment Posting, Insurance Follow-up, EOB Review, Appeals, Denial Tracking, Payment Plan Setup, Collections, Daily Receipt Balancing, Aging Report Management

Industry

Medical Practices

Description

Description Come and join our growing organization as a Medical Biller! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. We offer an outstanding benefits package designed to support your professional growth and work-life balance: Work-Life Balance: Monday–Friday schedule — no nights or weekends Comprehensive Benefits: Medical, dental, and vision coverage Health Reimbursement Account: Employer Funded Retirement Savings: 401(k) with company match Paid Time Off: Generous vacation and sick time Insurance Coverage: Company-paid life insurance, with options for Long-Term Disability, Critical Illness, and Accident coverage Paid Holidays: 11 recognized holidays The Medical Biller position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week As the Medical Biller you will be responsible for entering charges and submitting medical claims to insurance companies. This role will work all open accounts for insurances and patient related A/R and attends to all patient and insurance-related inquiries. The Medical Biller is a critical position for the financial cycle of all health care providers. Responsibilities: Prepares, reviews, and transmits claims, both electronic and paper. Follows up on unpaid claims within the Billing Department policy timeframe. Checks and posts each insurance payment manually or electronically within the Billing Department policy timeframe. Calls insurance companies regarding discrepancies in payments if necessary. Identifies and bills secondary or tertiary insurances. Reviews accounts in patient follow-up. Reviews EOBs, appeals and tracks denied claims when necessary. Answers all patient, insurance, or staff telephone inquiries pertaining to assigned accounts Coordinates with front desk or verification team to ensure active insurance coverage prior to billing. Collaborates with other medical coders to clarify diagnosis and procedure codes when discrepancies arise. Reconciles submitted claims against remittance advice to identify underpayments or incorrect adjustments. Submits and monitors claim status via clearinghouse platforms; addresses rejections in a timely manner. Ensures compliance with HIPAA, payer guidelines, and internal billing policies. Other additional duties that may be pertinent to the billing department processes. Sets up payment plans and works collections if assigned. Balances all daily receipts and runs final end of day report. Runs and manages open item aging reports bi-weekly for patients and insurances. Assists with internal audits and supports quality improvement initiatives in the billing process. Requirements Education/Experience: High school diploma or G.E.D. and the equivalent of one year of full-time clinical or administrative health care experience Minimum of one year of experience in a medical billing role, preferably in a multi-specialty or oncology environment Experience with the electronic and paper systems used in billing services Experience working in Windows and with MS Office software Certifications: Certified Professional Biller (CPB), Certified Billing and Coding Specialist (CBCS), or equivalent preferred.

Responsibilities

The Medical Biller is responsible for entering charges, submitting medical claims to insurance companies, and managing all open accounts related to insurance and patient accounts receivable. This role also involves handling all patient and insurance-related inquiries to support the financial cycle of healthcare providers.