Billing Specialist (Hybrid)

St. Ann's Community•Rochester, NY

132d•$18 - $22•Hybrid

About The Position

St. Ann’s Community Management Company, Inc. (SAMCI) is hiring a Billing Specialist to accurately process agency fee revenues through timely collection. The position follows a hybrid work schedule, with occasional remote work or onsite work with clients. The role prepares and submits billing claims, posts receipts and adjustments, reconciles receipts, prepares refunds, processes monthly statements, and follows up on outstanding accounts. It also supports billing and eligibility needs in the clearinghouse and/or electronic medical record, handles third-party insurance billing, responds to billing questions, and maintains provider rosters. The employee must obtain and maintain an active Medical Billing certification while employed. The employer pays for the certification, which requires a two-year commitment. St. Ann’s Community states that it provides equal employment opportunity and does not discriminate against employees or applicants based on protected characteristics.

Requirements

Local candidates only.
Associate’s degree with one to two years of billing and computer experience.
Knowledge of medical billing or equivalent is required.
Must obtain Medical Billing certification within one year of employment; employer-paid certification requires a two-year commitment.
Must maintain active Medical Billing certification while employed with SAMCI, including completing required continuing education credits.

Nice To Haves

Medical Billing certification preferred.

Responsibilities

Prepare and submit billing claims, including posting monthly receipts and adjustments, reconciling receipts, preparing refunds, and processing monthly statements.
Maintain the clearinghouse and/or electronic medical record as needed for eligibility and billing needs.
Perform routine analysis and follow-up billing of outstanding accounts.
Ensure proper procedures related to Medicare, Medicaid, and other third-party payers.
Prepare all third-party insurance bills for submission or patient billing.
Enter cash receipts by entity.
Respond to patients’ and responsible parties’ billing questions.
Proactively work aging reports and write appeal letters when applicable.
Identify issues contributing to account delinquency and communicate them to the Supervisor.
Maintain provider rosters.
Perform other duties as assigned.
Obtain Medical Billing certification within one year of employment and maintain active certification, including completing required continuing education credits.