The Medical Billing Associate works within the hospital or physician billing offices to support the timely and efficient billing and follow-up of medical claims across the Albany Med Health System.
This role focuses on pre-billing edits, introductory payer denials, and ensuring claims meet regulatory requirements and payer policies so that clean claims are submitted to payers. The position also includes early-stage denial resolution, including rebilling claims or initiating appeals when needed to support payment recovery.
The incumbent is expected to work independently after onboarding and training, maintain production standards, communicate effectively with peers and leaders, and manage account follow-up with accurate documentation. The role requires use of payer websites and familiarity with Epic, On Base, and other systems as needed.
Essential functions
- Resolve billing edits found in assigned work queues.
- Respond to denials on accounts, including rebilling claims or initiating disputes and appeals when appropriate.
- Collaborate professionally with internal and external departments to resolve edits and denials.
- Identify payer trends in billing edits and denials and communicate them to department leaders.
- Maintain detailed notes on all actions taken on accounts.
- Use payer websites to locate billing and denial resolution policy information.
- Work proficiently in Epic, On Base, and other platforms.
- Work independently under time constraints and deadlines with minimal supervision.
- Meet daily and weekly productivity standards with acceptable QA results.
- Perform other duties as assigned.
Additional expectations
- Ability to learn and apply payer policy requirements.
- Strong communication, organization, and follow-up skills.
- Familiarity with HIPAA and other sensitive health information handling requirements.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$46,215 - $60,080
Remote work allowed
No
Posted
1 week ago