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
Qualifications:
Thank you for your interest in Albany Med Health System!?
Albany Med Health System is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Medical Billing Associate - Albany Medical Center • Albany, NY, US
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