Planned Parenthood Medical Biller II in West, New York


Medical Biller II

Buffalo, NY

In support of Planned Parenthood of Central and Western New York’s (PPCWNY) mission, the Medical Biller II has the overall responsibility to ensure effective collections on all patient accounts.

Essential Functions

Patient Billing, Cash Application and Insurance Follow-up

  • Files claims electronically and on paper when necessary, using the NextGen EPM system or any other practice management systems clients are utilizing; uses various clearinghouse applications as applicable

  • Posts payments from insurance companies and patients

  • Addresses claim edits that occur prior to filing claims, or are a result of filing claims; may assist in the claims “scrubbing” process prior to claims submission to review for errors.

  • Maintains standards to ensure systematic, consistent and timely collection follow-up. This can include compiling reports, use of worklog and/or other means for follow-up.

  • Works credit balances on a timely basis to ensure overpayments are addressed

  • Makes follow-up phone calls and send past due letters on accounts with outstanding balances according to patient collections policies and procedures

  • Reviews accuracy of patient accounts prior to generating statements

  • Establishes and follow-up on patient accounts with established payment plans

  • Processes patient payments, small balance write-offs and bad debt adjustments

  • Answers patient calls and address questions related to insurance and patient responsibility

  • Accurately maintains patient records

  • Works in conjunction with other staff to successfully meet internal goals

  • Makes suggestions on workflow improvements

  • Notifies Billing Manager of any collection or workflow issues


  • Minimum three years of experience in the area of medical billing/collections

  • Minimum three years of experience with computerized billing/receivables system and reports

  • Experience with NextGen practice management system preferred

  • 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

  • A commitment to providing services to a diverse range of clients and to the goals of PPCWNY is essential

  • A commitment to PPCWNY’s mission, vision and values is essential


Commensurate with experience

How to Apply

Follow the link:

We offer a generous benefits package including health insurance, vacation and a retirement plan with company match.

Planned Parenthood serves a diverse client population and is committed to workforce diversity.

Equal Opportunity Employer.

Location: NY - West

Activation Date: Sunday, October 16, 2016

Expiration Date: Saturday, December 31, 2016

Apply Here