Medical Billing Associate - Saratoga Hospital
Company: Albany Medical Center
Location: Saratoga Springs
Posted on: April 2, 2026
|
|
|
Job Description:
Department/Unit: Patient Billing Service Work Shift: Day (United
States of America) Salary Range: $40,495.10 - $52,643.64 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 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. 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.
Keywords: Albany Medical Center, Albany , Medical Billing Associate - Saratoga Hospital, Administration, Clerical , Saratoga Springs, New York