Administrative Support Associate VI - Hospital Billing & Claims Analyst

Entry Level Hospital Billing And Claims Position

Qualifications :

High school diploma or GED is required. AAS degree is preferred.

Knowledge in billing codes and EDI requirements.

Knowledge of electronic claims processing and edits.

Excellent decision-making skills, detail oriented, and have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.

Able to communicate effectively and successfully with team members, providers, contractors, payors, and their Leadership group daily. Able to successfully balance the demands of a wide range of duties when given general direction, based upon standards, policies, and procedures.

Essential Duties And Responsibilities :

Use of payor websites for eligibility verification.

Work with payors to resolve underpayments, overpayments, rejections and denials.

Reviewing and replying to correspondence relating to the outstanding receivables and identifying and / or escalating billing issues to their manager in a timely manner.

Thank you for your interest in Albany Medical Center!

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, 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 Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.