Medical Billing & Denials Specialist

Albany Med; City of Albany (NY); On-site; GBP 35,000 - 49,000; Full time

Job summary

Albany Med Health System is seeking a Medical Billing Analyst in the AMHS Hospital Billing unit. The role centers on rebilling and addressing payer denials, using payer policy research to overturn issues and improve timeliness of payments.

The incumbent will work independently, meet production standards, and collaborate with coding and other departments to resolve complex edits and trends in denial management.

Qualifications

• Must have strong communication skills (verbal and written).
• Ability to learn quickly and work independently.
• Prior office experience preferred.
• Medical Billing or claims knowledge preferred.
• Demonstrates ability to prioritize in high-volume environment.

Responsibilities

• Resolve intricate billing edits on billed accounts requiring rebillability.
• Follow up on No Response Work Queues with payer contact via phone, email or portals.
• Respond to denials with updated information or appeals and supporting docs.
• Collaborate with Coding and other departments to resolve edits and denials.
• Identify payer trends and aging AR, proposing mitigation strategies to leaders.
• Document actions taken on accounts with clear and detailed notes.
• Navigate payer portals to obtain adjudication details and guidelines.

Skills

Verbal and written communication

Independent work

Learn quickly

Office experience

Education

High School Diploma/G.E.D.

Associate's Degree

CCS-Certified Coding Specialist or CIC/COC (preferred)

Tools

Epic

On Base

Job description

Albany Med Health System is seeking a Medical Billing Analyst in the AMHS Hospital Billing unit. The role centers on rebilling and addressing payer denials, using payer policy research to overturn issues and improve timeliness of payments.

The incumbent will work independently, meet production standards, and collaborate with coding and other departments to resolve complex edits and trends in denial management.