Medical Billing Associate - Albany Medical Center

Job description

Department/Unit: Patient Billing Service Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64 The Medical Billing Associate is a position located within the Hospital or Physician Billing Offices. The role 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 as well as some introductory payer denials. Claims must meet the regulatory requirements as well as specific payer policies. The edits are in place to ensure that clean claims are sent to the payers. Introduction to denial resolution is also part of this role. Initiating an appeal or rebilling the claim to address the denial is paramount to receiving payment. The incumbent will be expected to work independently and meet production standards after the prescribed onboarding and training is concluded. Communication with peers, trainers, and leaders will also be imperative to success Essential Functions: 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...