Medical Biller

RPCI Oncology PC•Town of Amherst, NY

6d•$21 - $23•Hybrid

About The Position

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.

Requirements

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

Nice To Haves

Certified Professional Biller (CPB), Certified Billing and Coding Specialist (CBCS), or equivalent preferred.

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.