Medical Billing Analyst
About the role
The Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS).
Responsibilities
- Resolve the more intricate billing edits as assigned.
- Follow up on the No Response WQs as assigned.
- Communicate with the payer via phone, email, or website platforms as needed.
- Ability to locate denial or remittances via the payer websites as needed.
- Respond to denials received on accounts as assigned.
- Identify and present the payer trends amongst the claims that are editing for similar reasons.
- Collaborate professionally internally or with external departments when needed to resolve the edit or denial.
- Identify payer trends within the denials and work with leaders to mitigate those denials where possible.
- Build an understanding of expected reimbursement on the accounts to ensure correct payments are received.
- Participate as needed and at the request of leadership.
Qualifications
- A High School Diploma/G.E.D.
- Prior office experience.
- Medical Billing or claims knowledge.
- Ability to work independently and within a team.
- Excellent verbal and written communication skills.
- Ability to communicate with internal peers and leadership.
- Demonstrates an ability to learn and understand instruction.
- Ability to effectively prioritize and execute tasks in a high-volume atmosphere.
- Microsoft Office and website knowledge.
- CCS-Certified Coding Specialist Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) upon hire (preferred).
Physical Demands
- Standing - Occasionally
- Walking - Occasionally
- Sitting - Constantly
- Lifting - Rarely
- Carrying - Rarely
- Pushing - Rarely
- Pulling - Rarely
- Climbing - Rarely
- Balancing - Rarely
- Stooping - Rarely
- Kneeling - Rarely
- Crouching - Rarely
- Crawling - Rarely
- Reaching - Rarely
- Handling - Occasionally
- Grasping - Occasionally
- Feeling - Rarely
- Talking - Constantly
- Hearing - Constantly
- Repetitive Motions - Frequently
- Eye/Hand/Foot Coordination - Frequently
- Working Conditions:
- Extreme cold - Rarely
- Extreme heat - Rarely
- Humidity - Rarely
- Wet - Rarely
- Noise - Occasionally
- Hazards - Rarely
- Temperature Change - Rarely
- Atmospheric Conditions - Rarely
- Vibration - Rarely
Benefits
The Medical Billing Analyst may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Pay
$46,947.00 - $65,726.00
Schedule
Day