Medical Billing Analyst

The Medical Billing Analyst is an intermediate billing role within the Hospital or Physicians Billing Offices for Albany Med Health System. This position focuses on timely follow-up for accounts that have already been billed and require rebilling, accounts with no payer response within regulatory timelines, and denials that need immediate action and/or rebuttal.

The role handles more complex denials and billing edits, including cases that may require a professional narrative and supporting documentation to overturn. Depending on departmental needs, responsibilities may include billing edits, no-response follow-up, denial resolution, and appeal support.

This position requires the ability to learn quickly, work independently, use payer websites to research policies, and meet production standards after onboarding. Strong communication with peers, trainers, leaders, and other internal departments is essential.

Primary responsibilities

• Resolve complex billing edits assigned to the position.
• Follow up on no-response work queues with payers by phone, email, or website platforms.
• Research denials and remittance information using payer websites.
• Rebills claims as needed or submits appeals with supporting documentation.
• Collaborate with internal departments, including Coding, to resolve edits and denials.
• Identify payer trends affecting claim resolution and communicate them to leadership.
• Maintain detailed account notes so others can continue follow-up effectively.
• Navigate payer websites and review claim adjudication and policy guidelines.
• Use Epic, OnBase, and other systems as needed.
• Work independently under deadlines while meeting productivity and QA standards.
• Support accounts aging over 60 days and help reduce accounts receivable aging.
• Communicate professionally with Patient Access, Coding, leadership, and outside departments.
• Build understanding of expected reimbursement and leadership reports related to assigned work.