[Hiring] Medical Biller @Planned Parenthood CWNY

Role Description

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

• 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 addresses 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.

Qualifications

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

Requirements

• Standard health center environment.
• Well-lit/ventilated.
• 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.
• This is a full-time, 40 hour a week, position; regular schedule will be Monday – Friday with occasional evenings and weekends.

Benefits

• 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.
• 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!