Advanced Medical Billing & Denials Specialist

Albany Med; United States; Sur place; USD 46 000 - 60 000; Plein temps

Résumé du poste

Albany Med Health System is seeking a Medical Billing Associate. This intermediate billing role focuses on follow-up on billed accounts needing rebill, payer responses within guidelines, and handling denials with supporting documentation.

The incumbent must learn quickly, work independently, and use payer portals to locate policies impacting timely payment.

Collaboration with coding and other departments is essential to resolve edits and denials, while meeting daily productivity and QA standards.

Responsabilités

• Resolve intricate billing edits on previously billed claims and understand initial denials to rebill successfully.
• Follow up on No Response WQs and communicate with payers via phone, email, or website platforms.
• Locate denial or remittance details on payer websites as needed.
• Respond to denials with possible re-billing or appeals supported by documentation.
• Collaborate with coding and other departments to resolve edits or denials and mitigate payer trends.

Description du poste

Albany Med Health System is seeking a Medical Billing Associate. This intermediate billing role focuses on follow-up on billed accounts needing rebill, payer responses within guidelines, and handling denials with supporting documentation.

The incumbent must learn quickly, work independently, and use payer portals to locate policies impacting timely payment.

Collaboration with coding and other departments is essential to resolve edits and denials, while meeting daily productivity and QA standards.