What are the responsibilities and job description for the Medical Biller position at Roswell Park Care Network (RPCI Oncology, PC)?
Full-time 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
Responsibilities
Education/Experience
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!
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
- Certified Professional Biller (CPB), Certified Billing and Coding Specialist (CBCS), or equivalent preferred.
Salary : $21 - $23