Department/Unit: Patient Billing Service Work Shift: Day (United States of America) Salary Range: $38,937.60 - $50,618.88 This is a medical billing position. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by hospital of Albany Med Health System by competing appeals, phone calls, and account review. 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 & 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. Albany Medical Center is the centerpiece of medicine, research, and medical education in New Yorks Capital Region and is the area's largest private employer with more than 10,000 employees. Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and administration. We value all our staff members and offer outstanding employee benefits including: · 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 Anchored in the states historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the regions largest hospital, only Level 1 adult and pediatric trauma centers, and only childrens hospital. The downtown campus also offers opportunities at Albany Medical College. Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties.
