• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy • Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers. • Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission. • Respond timely to emails and telephone messages as appropriate. • Communicate issues to management, including payer, system or escalated account issues. • Participate and attend meetings as requested, training seminars and in-services to develop job knowledge. • Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards. • Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. • Update patient demographics/insurance information in appropriate systems • Monitor claims for missing information, authorization, and control numbers (ICN//DCN) • Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. • Secure needed medical documentation required or requested by third party insurance carriers. • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure. • Perform other related duties as required.

Role Description As a member of our team, you will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. - Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts - Assigns CPT and ICD-10 codes - Monitors assigned work queues to ensure all records are charged/coded in a timely manner - Generates coding queries for clarification regarding physician documentation as needed - Stays abreast of all changes in coding conventions and coding updates - Ability to manage significant workload and work efficiently under pressure meeting established deadlines with minimal supervision - Moderate work experience within own function - Some work is completed without established procedures - Basic tasks are completed without review by others - Supervision/guidance is required for higher level tasks Qualifications - High School Diploma/GED - Professional CPC coder certification with credentialing from AHIMA and/or AAPC to be maintained annually - 5+ years pro-fee coding experience in Orthopedics and podiatry services - Intermediate knowledge of Medicare guidelines and modifier application - Intermediate level of experience in Epic and working with denials Requirements - *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) - Hourly pay for this role will range from $20 to $36 per hour based on full-time employment

• Accurately assign CPT, ICD-10-CM, and HCPCS codes for OB/GYN services including: • Obstetric care: prenatal, antepartum, delivery, postpartum, and global packages • Gynecologic surgeries: hysterectomy, laparoscopy, endometrial ablation, etc. • Primary care and preventive visits: well-woman exams, preventative visits, annual wellness visits, screenings, immunizations • Psychiatry and behavioral health visits related to perinatal and women’s mental health • Nurse practitioner and physician E/M encounters • Validate documentation for compliance with CPT, ICD-10-CM, and payer guidelines • Maintain up-to-date knowledge of coding changes and payer regulations • Meet and maintain department productivity and quality standards • Protect the confidentiality and security of all protected health information (PHI) in compliance with HIPAA • Collaborate with providers and billing staff to resolve documentation and coding discrepancies

Role Description In support of PPCWNY’s mission, the Medical Biller has the overall responsibility to ensure effective billing and collections on all patient accounts. - Reviews all Tasks assigned to the individual/workgroup. - Aggressively follows up on all unpaid accounts to ensure that the A/R benchmark targets are met or exceeded. - Answers patient calls and addresses questions related to insurance and patient responsibility. - Works in conjunction with other staff to successfully meet internal goals. - Performs all duties in accordance with established agency policies, protocol and the In This Together services ethos, workplace values, and service standards. - Notifies Billing Manager of any collection or workflow issues. - Shows respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints and needs. Qualifications - Associate’s degree in business, accounting, business administration, or a related field or equivalent combination of education and experience. - Minimum three years of experience in medical billing/collections. - Minimum three years of experience with computerized billing/receivables system and reports. - Experience with EPIC preferred. - Ideal candidate will have one of the following certifications, but is not required: Registered Health Information Administrator (RHIA), Certified Health Information Technician (CHIT), Certified Coding Specialist (CCS), Certified Medical Billing Specialist (CMBS), or Certified Professional Coder (CPC). - 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. - Planned Parenthood seeks candidates who are proficient in two or more languages. Requirements - Standard health center environment. - Well-lit/ventilated. - Possess sufficient mobility to perform the Essential Functions listed in this Job Description with or without an accommodation. - Ability to lift 25 pounds with or without an accommodation. - May experience visual fatigue working at computer with potential extended periods of sitting. - Ability to travel to all agency locations as assigned. - This is a full-time, 40 hour a week, position; regular schedule will be Monday – Friday with occasional evenings and weekends. Benefits - Pay for this position ranges from $21.89 to $25.36/hour. Actual compensation will be determined by experience and other factors permitted by law. - Extensive benefits package with generous Paid Time Off. - 10 paid holidays. - Affordable medical, dental, and vision options. - Health Savings Account or Flexible Spending Account. - 401(k) with match. - And much more!