Planned Parenthood Medical Biller II in West, New York
Medical Biller II
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.
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: https://home.eease.adp.com/recruit/?id=15452051
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