Medical Biller

SAMCI - St. Ann’s Management Company; City of Rochester (NY); Hybrid; USD 42,000 - 60,000; Full time

Job summary

SAMCI – St. Ann’s Management Company provides revenue cycle management services to healthcare organizations. The Medical Biller role is in Rochester, NY, with a hybrid work arrangement and some at-home options.

You will review and submit claims, verify coverage, code with ICD-10, and address denials to ensure compliant billing. You’ll collaborate with clinical and administrative teams, post payments, and support process improvements in a busy revenue cycle environment.

Qualifications

• Strong knowledge of medical terminology and ability to interpret clinical documentation.
• Proficiency with ICD-10 coding and application of codes to support accurate claim submission.
• Experience working with commercial insurance plans and understanding of payer requirements.
• Solid understanding of Medicare billing rules and regulations.
• Demonstrated ability to identify, analyze, and resolve denials and underpayments.
• Prior experience in medical billing or revenue cycle management in a healthcare setting.
• Attention to detail, strong organizational skills, and ability to manage multiple priorities.
• Comfort with electronic medical records and billing software; proficiency in basic office software (e.g., Excel, Word).
• Effective written and verbal communication skills and the ability to work collaboratively with diverse teams.
• High school diploma or equivalent required; additional coursework or certification in medical billing, coding, or healthcare administration is preferred.

Responsibilities

• Review and submit claims to insurance carriers, including Medicare and other payers, ensuring accuracy and compliance with current billing regulations.
• Verify patient insurance coverage and apply appropriate ICD-10 codes.
• Resolve denials and billing discrepancies and follow up on outstanding receivables.
• Post payments and reconcile accounts.
• Communicate with payers and provider staff to address billing issues.
• Support revenue cycle improvement initiatives and collaborate with clinical and administrative teams to maintain documentation.

Skills

Medical terminology

ICD-10 coding

Payer requirements

Medicare rules

Denials analysis

Billing experience

Attention to detail

Organizational skills

EMR software

Communication skills

Education

High School Diploma

Medical billing certification

Tools

Excel

Word

EMR software

Job description

Company Description

SAMCI – St. Ann’s Management Company provides consultation and complete revenue cycle management services to a wide range of healthcare organizations, including skilled nursing facilities, internal medicine practices, outpatient services, and Federally Qualified Health Centers. The company offers medical billing and collections support, revenue cycle process improvement, staff training and certification in billing, and electronic medical record implementation. SAMCI focuses on helping clients increase cash flow, reduce outstanding receivables, and eliminate billing and system-related operational challenges. By partnering with SAMCI, healthcare providers gain a trusted resource for optimizing workflows and sustaining performance improvements through well-trained internal staff.

Role Description

This full-time Medical Biller role is a hybrid position based in Rochester, NY, with the option for some work from home. The Medical Biller will review and submit claims to insurance carriers, including Medicare and other payers, ensuring accuracy and compliance with current billing regulations. Daily responsibilities include verifying patient insurance coverage, applying appropriate ICD-10 codes, resolving denials and billing discrepancies, and following up on outstanding receivables. The role also involves posting payments, reconciling accounts, communicating with payers and provider staff to address billing issues, and supporting revenue cycle improvement initiatives. The Medical Biller will collaborate with clinical and administrative teams to maintain clear documentation and contribute to efficient, compliant billing processes.

Qualifications

• Strong knowledge of medical terminology and ability to interpret clinical documentation.
• Proficiency with ICD-10 coding and application of codes to support accurate claim submission.
• Experience working with commercial insurance plans and understanding of payer requirements.
• Solid understanding of Medicare billing rules and regulations.
• Demonstrated ability to identify, analyze, and resolve denials and underpayments.
• Prior experience in medical billing or revenue cycle management in a healthcare setting.
• Attention to detail, strong organizational skills, and ability to manage multiple priorities.
• Comfort with electronic medical records and billing software; proficiency in basic office software (e.g., Excel, Word).
• Effective written and verbal communication skills and the ability to work collaboratively with diverse teams.
• High school diploma or equivalent required; additional coursework or certification in medical billing, coding, or healthcare administration is preferred.