Medical Biller and Collections

Company Overview

This position is available with Upstate Home Care, a Bio Matrix company.

This position is available with Upstate Home Care, a Bio Matrix company. Bio Matrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes.

At Bio Matrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners.

Monday Through Friday From 8:30am Eastern Standard Time To 5pm Eastern Standard Time. Work schedule is subject to change based on business needs.

Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work in a hybrid capacity from one of the noted locations on Mondays, Wednesdays, & Fridays while working from home on Tuesdays & Thursdays. Work location is subject to change based on business needs.

Directly provides efficient management and collections of patient/customer accounts aligning with prevailing company, state, federal and payer standards.

• High school diploma or GED required
• Minimum of two (2) years of billing experience required
• Demonstrates strong computer literacy and aptitude as evidenced by proficiency and/or training with applicable software systems
• Knowledge of NYS Medicaid, Medicare Part B, and third-party payers
• Good written and verbal communication
• Prioritization skills
• Alignment to given instructions
• Independent worker

• Associate’s degree in Health Care Service, Medical Sales, or a related field preferred
• Prior billing experience with home medical equipment provider preferred

• Providing excellent customer service by being courteous and prompt in response to customer/staff inquiries
• Explaining financial responsibilities with customer and/or caregiver
• Providing accurate information to customer and/or caregiver and/or staff
• Documenting customer account issues/concerns (when applicable) and forwarding to the appropriate manager
• Improves departmental/company productivity and efficiency by making corrections and updating patient account files
• Accurately submitting claims to correct carriers on a regular schedule
• Reviewing and resubmitting aged claims well in advance of time limits
• Handling denials in manners most advantageous to quick resolution and payment
• Working aged claims as instructed, monitoring progress weekly, negotiating payer commitments
• Volunteering or initiating assistance in other activities (not listed in JD) when it is beneficial to the department/company
• Minimizing claims aged beyond 90 days
• Follows departmental/company policies and procedures by understanding and following Confidentiality Policy
• Serving as company resource on processing/reimbursement issues
• Maintaining a safe, clean and organized work area
• Understanding and following complaint procedures
• Monitoring that appropriate signatures & justification accompany service orders
• Following applicable Medicare, Medicaid regulations
• Following state and insurance carrier regulations
• Following regulations set forth in company contracts
• Shows teamwork, initiative and accountability by volunteering to assist co-workers
• Staying current with industry/coverage changes
• Ensuring completion of required in-services, testing and/or immunizations
• Complying with applicable memo’s and policy changes as issued
• Presenting solutions in conjunction with problems
• Exhibits exceptional work ethics by not being…