Medical Biller

Job Description

Job 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.

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.

  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.