Medical Billing Associate - Glens Falls Hospital
About the role
The Medical Billing Associate is a position within the Hospital or Physician Billing Offices at Albany Med Health System (AMHS). The role focuses on the timely and efficient billing and follow-up of medical claims, with responsibilities including resolving billing edits and introductory payer denials.
Responsibilities
- Resolve all billing edits found in the assigned WQs.
- Respond to denials received on accounts as assigned.
- This may require a re-billing of a claim after updating the correct information or initiating a dispute or appeal to the payer.
- Collaborate professionally internally or with external departments when needed to resolve the edit or denial.
- Recognize payer trends amongst the claims that are editing for similar reasons and communicate these trends to leaders within the department.
- Identify payer trends within the denials and work with leaders to mitigate those denials where possible.
- Goal to minimize aging AR. Proper and detailed notation of actions taken on the account.
- Payer Website navigation as needed to obtain information.
- Review, understand, and locate payer policy guidelines for billing or denial resolution.
- Proficient use of Epic, On Base, and other platforms as needed.
- Ability to work independently and under time constraints and deadlines and with minimal supervision. To prioritize workload in an effective manner.
- Meet daily/weekly productivity standards with acceptable QA results.
- Other duties as assigned.
Qualifications
- A High School Diploma/G.E.D. - required
- An Associate's Degree - preferred
- Prior office experience - preferred
- 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)
Benefits
Upon Hire - preferred Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
- Standing - Occasionally
- Walking - Occasionally
- Sitting - Constantly
- Lifting - Rarely
- Carrying - Rarely
- Pushing - Rarely
- Pulling - Rarely
- Climbing - Rarely
- Climbing - Rarely
- Balancing - Rarely
- Stooping - Rarely
- Kneeling - Rarely
- Crouching - Rarely
- Crawling - Rarely
- Reaching - Rarely
- Handling - Occasionally
- Grasping - Occasionally
- Fingering - Occasionally
- 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, Temperature Change - Rarely, Atmospheric Conditions - Rarely, Vibration - Rarely
Workplace Hazards
- Atmospheric Conditions - Rarely
Workplace Safety
- 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.
Equal Opportunity Employer
Albany Medical Center is an equal opportunity employer. This role 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.
Equal Opportunity Employer
Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, 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 Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.