Medical Billing Associate

Role Overview

• 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 it may require the initiation of 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.
• 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.
• Goal to minimize aging AR.
• Proper and detailed notation of actions taken on the account. Others will rely on those notes when taking the next step on the account follow up.
• 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 and with minimal supervision.
• to prioritize workload in an effective manner.
• Meet daily/weekly productivity standards with acceptable QA results.
• Other duties as assigned.

Requirements

• High School Diploma/G.E.D.
• required
• Associate's Degree
• preferred
• Prior office experience
• preferred
• 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
• CCS-Certified Coding Specialist Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) Upon Hire
• preferred
• Equivalent combination of relevant education and experience may be substituted as appropriate.

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