Phy Practice Medical Biller

2624 White Plains Physician Services, P.C.; City of White Plains (NY); On-site; USD 30,000 - 44,000; Full time

Job summary

White Plains Physician Services, P.C. in Harrison, NY is seeking a WPPA Medical Biller to ensure timely and accurate entry of charges, manage denials and monitor non-payments as part of the day-to-day revenue cycle. The role emphasizes adherence to performance standards and collaboration with frontline staff.

Minimum 3 years of billing experience is required, with coding experience preferred. A high school diploma or GED is required, and a BS degree is preferred.

Qualifications

• 3+ years billing experience; coding experience preferred.
• Understanding of revenue cycle and impact of front-end sponsorship on billing and collections.
• Proficiency with health insurance eligibility as it pertains to Medicare/Medicaid and managed care reimbursement.

Responsibilities

• Understand and adhere to performance standards and policies.
• Monitor clean billing of claims and ensure timely submission.
• Identify denials and provide recommendations to improve processes and training.
• Monitor write-offs to minimize losses and pursue non-payments.
• Assist clinicians with coding questions and collaborate with the care team.

Skills

Billing experience

Coding knowledge

Education

High school diploma/GED

BS degree preferred

Job description

City/State: Harrison, New York

Department: WPHPA Revenue Cycle_1

Work Shift: Day

Work Days: MON-FRI

Scheduled Hours: 8 AM-5 PM

Hours Per Pay Period: 80

Pay Rate/Range: $22 - $32

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

Position Summary The WPPA Medical Biller is responsible for timeliness & accuracy of charge entry, denial management and monitoring of non-payments. This position is an important role for the day to day management of the front end revenue cycle.

Essential Functions and Responsibilities

1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
2. Monitor the clean billing of claims in the physician practice and ensures that all claims are billed expeditiously
3. Demonstrates a complete understanding of all Insurance companies; their policies, guidelines and contracts.
4. Takes initiative to remain informed as changes in coding rules/guidelines, actively reads/researches and keeps abreast of changes in the industry.
5. Identify/trend denials and provides recommendations to improve processes/provide additional training to front end staff etc.
6. Monitor write-offs with the objective of minimizing these losses.
7. Actively pursue all non-payments identifying the cause and provide recommendations for corrective solutions.
8. Act as resource to front-end and/or clinician for coding questions.
9. Fulfills organizational responsibilities as assigned including respecting/promoting patient rights; responding appropriately to emergencies; communicates concerns/ problems relating to patients and/or staff with immediate supervisor.
10. Adheres to White Plains Hospital infection control standards including, but not limited to, hand hygiene, use of PPE, isolation of patient with known infectious disease, and equipment disinfection/sterilization.
11. Utilizes appropriate steps in the decision making process to include recognition and priority setting relating to patient care and practice based issues.
12. Collaborates and communicates with the health care team
13. Completes annual mandatory requirements including Occupational Health Requirements.
14. Attends mandatory in-services
15. Attends staff meetings as required/requested
16. Performs all other related duties as assigned.

Education & Experience Requirements

Minimum of 3 years billing experience, coding experience preferred. High school graduate or GED certificate. BS degree preferred. Demonstrated understanding of revenue cycle and the impact of front-end sponsorship work on billing and collection efforts.

Demonstrated skills in problem assessment, and resolution and collaborative problem-solving in complex, interdisciplinary settings.

Ability to work collectively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.

Proficiency in health insurance eligibility as it pertains to Medicare and Medicaid regulations, insurance and managed care reimbursement concepts and overall operational impact.

Basic medical terminology.

Core Competencies

• Ability to work independently, as part of a team, and follow-through and handle multiple tasks simultaneously.
• Ability to communicate effectively both verbally and written and work with others
• Ability to concentrate on fine details with constant interruptions
• Perform multiple duties in a high volume area
• Ability to deal professionally and efficiently with all levels of management and external constituencies
• Self-starter, self-motivated and ability to work without supervision
• Flexible, organized and able to set priorities
• Demonstrates team work and adaptability
• Maintains composure under stress

Physical/Mental Demands/Requirements & Work Environment

• Ability to perform computer work for extensive periods of time
• Occasionally move and/or transport of 15 to 20 pounds
• Requires movement about the department frequently throughout the day
• Ability to remain in stationary position for extended periods of time
• May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and may be accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc.

Primary Population Served

• Neonatal (birth – 28 days)
• Patients with exceptional communication needs
• Infant (29 days – less than 1 year)
• Patients with developmental delays
• Pediatric (1 – 12 years)
• Patients at end of life
• Adolescent (13 – 17 years)
• Patients under isolation precautions
• Adult (18 – 64 years)
• Patients with cultural needs
• Geriatric (> 65 years)
• Bariatric Patients with weight related comorbidities
• Non-patient care population
• All populations

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.

White Plains Physician Services, P.C. is an equal employment opportunity employer. White Plains Physician Services, P.C. will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

White Plains Hospital is a proud member of the Montefiore Health System, serving as its tertiary hub of advanced care in the Hudson Valley. The Hospital is a 292-bed not-for-profit health care organization with the primary mission of providing exceptional acute and preventive medical care to all people who live in, work in or visit Westchester County and its surrounding areas. White Plains Hospital has outpatient medical facilities across Westchester, including multispecialty practices in Armonk, Hawthorne, Larchmont, New Rochelle, Rye Brook, Scarsdale, Somers, Yonkers and Yorktown Heights; and Scarsdale Medical Group locations in Harrison and Scarsdale. The Hospital is fully accredited by the Joint Commission, and in 2025 received another 5-star rating from the Centers for Medicare & Medicaid Services (CMS) — the highest distinction offered by the federal agency – for the fourth consecutive year. In addition, the Hospital received its third Magnet® designation from the American Nurses Credentialing Center (ANCC), a distinction held by only two percent of hospitals in the country. White Plains Hospital has consistently received the Outstanding Patient Experience Award from Healthgrades®, and in 2025 was awarded an “A” Safety Grade from the Leapfrog Group for the 14th consecutive time.