BILLING SPECIALIST

UBMD Surgery has grown to be one of the largest and most respected non-profit surgical practices in Western New York. As a part of the UBMD Physicians’ Group, we take pride in teaching the next generation of surgeons how to be the doctors of the future, all while providing excellent patient care and outcomes.

Our certified and fellowship-trained surgeons see and treat patients at various locations including Buffalo General Medical Center, Erie County Medical Center, John R. Oishei Children’s Hospital, Millard Fillmore Suburban Hospital, Niagara Falls Memorial Medical Center, and Buffalo VA Medical Center.

We offer a comprehensive benefit package that includes Health Insurance, Dental, Vision, Company Paid Life Insurance, Company Contributed Pension, PTO, and 14 paid Holidays.

UBMD Surgery also hosts company sponsored events and scholarship opportunities available to all employees.

Department:  Surgery         

Reports to: Billing Team Lead

Position Summary: The billing specialist is responsible for accurately entering physician charges in the billing system. He/she will post payments to patient accounts, conduct follow up activities, assist patients with questions, and perform other related business tasks as assigned.

Essential Functions:

• Accurately enter billing sheets in system for timely billing and revenue recognition
• Assign appropriate ICD9-10 codes to billing, as well as appropriate modifiers
• Obtain, verify and update demographic information for billing
• Follow up on denied, underpaid, adjudicated and un-adjudicated claims
• Identify and report payer trends related to inappropriate reimbursement, denials, and untimely adjudication to the billing manager
• Process overpayments and refunds in a timely fashion
• Maintain confidentiality of billing information in accordance with HIPAA guidelines
• Effectively communicate with patients in regard to patient inquiries and past due balances
• Maintain posting spreadsheets
• Work closely with front office staff regarding outstanding balances of current patients
• Keep manager informed of any major problems affecting billing

Other Functions:

• Provide cross-coverage for billing and follow up/collections specialist within the department, when deemed necessary
• Perform special projects and other duties as assigned by the billing manager or director of revenue cycle administration
• May provide support to some operational duties such as authorizations, etc…

Education: H.S. diploma or equivalent required. Medical billing coursework preferred.

Experience/Qualifications: 2 years of billing/ collections experience preferred. Physician billing experience preferred, mainly in surgical, obstetrics, and gynecology. Knowledge of insurance and healthcare terminology preferred.

*Pay commensurate with education and experience

UBMD Surgery is an equal employment opportunity (EEO) employer. We are committed to the principles of equality in employment and opportunity for all employees without regard to race, color, citizenship status, national origin, ancestry, gender or expression whether or not such gender identity or expression differs from the employee’s physical sex as assigned at birth (including transgender status), sexual orientation, age, weight, religion, creed, physical or mental disability, predisposing genetic characteristics and information, marital status, familial status, domestic violence victim status, veteran status, military status, political affiliation or any other factor and/or status protected by law. We expect all employees to adhere to these principles of equality which apply to all aspects of the employment relationship including hiring, job selection, job assignment, compensation, corrective action, termination, access to benefits and training and other privileges of employment.

UBMD Surgery is a smoke-free and drug-free workplace in compliance with local, state and/or federal guidelines.