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General Physicians PC Billing Specialist in Buffalo, New York

Billing Specialist

Join General Physician, P.C. - Your Gateway to a Fulfilling Career!

Are you a Billing Specialist looking to take your career to the next level? General Physician, P.C., one of Western New York's most esteemed multi-specialty medical groups, is excited to welcome dedicated PCSs to our growing family. With a competitive salary, comprehensive benefits, and a strong commitment to work-life balance, this is an opportunity you won't want to miss.

Location: Buffalo, NY

Position Type: Full-time, Day shifts *Hybrid

Why General Physician, P.C.?

  • Work-Life Balance: Say goodbye to working nights, holidays, and weekends. No mandated overtime!

  • Comprehensive Benefits: Medical, dental, vision, and more.

  • Generous PTO: Enjoy your well-deserved time off.

  • 401(K) with 3% Employer Contribution: Secure your financial future.

  • Employee Discounts: Exclusive deals, including Verizon Wireless.

What you will be doing:

  • The primary purpose of this position is to prepare medical claims for timely submission to payers.

  • Review provider claims to ensure accurate representation of services rendered.

  • Prepare claims for reimbursement to all applicable entities.

  • Assess claims to ensure adherence with payer guidelines.

  • Maintain an understanding of medical insurance programs and coverage offered under various plans.

  • Research and work collaboratively with clinic staff to capture all billing activities (e-bill management). This may require access to additional information systems (EMR or Data Warehouse).

  • Contact patients and/or provider offices directly to secure current and accurate insurance information and guide patients on policy terms.

  • Respond to the RCM team and vendors promptly to address information needed for claim resubmission and denial resolution.

  • Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.

  • Understanding of payer websites and content for eligibility purposes. Understanding Navigation of Practice

  • Management integrated eligibility module.

  • Deliver exemplary customer service to provide a positive experience across the organization.

  • Perform other duties assigned by management.

The Education and experience you will need:

  • High School diploma or GED required; Certificate from college or technical school preferred

  • 1+ years' experience in billing or medical office operation required

  • Basic knowledge of ICD-10 and CPT Codes is required, understanding of Revenue Cycle Management preferred

  • Ability to multi-task with strong organizational skills

  • Strong customer service and communication skills with the ability to utilize computer programs

Join General Physician, P.C., and make a difference in the lives of patients while advancing your career!

  • The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget.
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