Medical Billing Associate

The Medical Billing Associate works within hospital or physician billing offices and is responsible for the timely and efficient billing and follow-up of medical claims throughout the Albany Med Health System. The role focuses on pre-billing edits, introductory payer denials, and denial resolution to help ensure clean claims are submitted to payers and payments are received promptly. The position requires independent work after onboarding, strong communication with peers and leaders, and the ability to meet production standards.

Essential duties

• Resolve billing edits found in assigned work queues.
• Respond to denials received on accounts, including rebilling claims or initiating disputes and appeals when needed.
• Collaborate with internal and external departments to resolve edits and denials.
• Identify payer trends in edits and denials and communicate findings to leadership.
• Help minimize aging accounts receivable through effective denial follow-up.
• Document actions taken on accounts in detail for follow-up by other staff.
• Navigate payer websites to review policies and obtain billing or denial resolution information.
• Use Epic, OnBase, and other related platforms.
• Work independently under deadlines and prioritize workload effectively.
• Meet daily and weekly productivity standards with acceptable quality assurance results.