Medical Billing Associate - Saratoga 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 involves the timely and efficient billing and follow-up of medical claims, focusing on pre-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 those trends to leaders within the department to determine if a systematic update is required.
• 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)

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Lifting - Rarely
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - 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, Atmospheric Conditions - Rarely, Vibration - Rarely

Workplace Accommodations

Albany Medical Center and Albany Med Health System are committed to providing reasonable accommodations for individuals with disabilities upon request. If you need an accommodation due to a disability, please contact Human Resources at [HR Contact Information].