Medical Billing Associate - Glens Falls Hospital

Department/Unit: Patient Billing Service Work Shift: Day (United States of America) Salary Range: $46,215.00 - $60,080.00 Essential Duties And Responsibilities 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. Qualifications 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. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Constantly Hearing - Constantly Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Albany Medical Center 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 Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. #J-18808-Ljbffr