Medical Billing Associate - Saratoga Hospital
About The Position
The Medical Billing Associate position is located within the Hospital or Physician Billing Offices and is centered around the timely and efficient billing and follow-up of medical claims throughout the Albany Med Health System (AMHS). This role focuses on pre-billing edits and introductory payer denials, ensuring claims meet regulatory requirements and specific payer policies. The edits are in place to ensure that clean claims are sent to the payers. Introduction to denial resolution, including initiating an appeal or rebilling the claim, is also part of this role. The incumbent will be expected to work independently and meet production standards after the prescribed onboarding and training. Communication with peers, trainers, and leaders will be imperative to success.
Requirements
- High School Diploma/G.E.D.
- 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
Nice To Haves
- Associate's Degree
- Prior office experience
- CCS-Certified Coding Specialist
- Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) Upon Hire
- Equivalent combination of relevant education and experience may be substituted as appropriate.
Responsibilities
- Resolve all billing edits found in the assigned WQs.
- Respond to denials received on accounts as assigned, which may require re-billing a claim after updating 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.
- 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 with minimal supervision.
- Prioritize workload in an effective manner.
- Meet daily/weekly productivity standards with acceptable QA results.
- Other duties as assigned.
Benefits
- Excellent health care coverage with no copay at Albany Medical Center providers
- A wide array of services and programs to support emotional, physical, and mental wellbeing
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
