Medical Biller
10 days ago
Buffalo
Job DescriptionDescription: 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. Comprehensive Benefits: • Monday-Friday schedule, • Medical, dental, and vision coverage, • Employer funded Health Reimbursement Account (HRA), • 401(k) with company match, • Generous vacation and sick time, • Company-paid life insurance, • 11 paid Holidays, • Position is Sign-On Bonus ELIGIBLE! 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 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.