Medical Billing Specialist
$49.76k - $69.67kAlbany Medical College
- # Medical Billing SpecialistApplylocations: 100 Park Street Glens Falls, NY 12801: 59D Myrtle Street: 1275 Broadway Albany, NY 12204time type: Full timeposted on: Posted 2 Days Agojob requisition id: 70286Department/Unit:Patient Billing ServiceWork Shift:Day (United States of America)Salary Range:$49,763.00 - $69,668.00The Medical Billing Specialist is a higher-level billing role within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered predominantly around denials. The incumbent will be expected to understand and resolve the most complicated of denials and/or will research the denial to learn what is needed by the payer. The incumbent must be able to work independently but also serve as a resource to others in the department. This position will act as a learning partner or mentor to the team. They will exemplify the meaning of teamwork and support their co-workers in a positive environment. This position will also possess the ability to manage assigned projects and present findings with preferred resolutions to leadership. This role will become familiar with running reports out of Epic as assigned. The incumbent will be expected to work independently and meet production standards. Progressive communication with peers, trainers, and leaders will also be imperative to success. **Essential Duties and Responsibilities*** **Primary Job Responsibilities** + Resolve all levels of denials. The more complicated denials may require research and outreach to understand what is required to resolve. Professional appeal submission with supporting documentation. This may also require second level appeal submissions which will require stronger reasoning and or additional documentation. + Identify and present the payer trends amongst the claims that are denying. Communicate and work with the leaders to mitigate. The expectation is that this role can work all denials and will serve as a resource to their peers. + Collaborate professionally internally or with external departments when needed to resolve the edit or denial. This may require consistent communication with coding or individual departments. For those that have coding certifications, the collaboration with Coding will be complementary and beneficial to both areas. + Present appropriate accounts for payer agendas with clear rationale and supporting documentation. + Ability to be the learning partner for peers. Supportive and positive demeanor when mentoring. + Manage and complete assigned projects timely. Present findings to leadership with suggestions to improve the process. + 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 as required. Ability to locate claim adjudication details with the supporting documentation. + Proficient use of Epic, OnBase, and other platforms as needed. Introduction and proficiency in running Epic reports will be required. + Ability to work independently and under time constraints and deadlines and with minimal supervision. Able to prioritize workload in an effective manner. Bring resolutions to management. + Meet daily/weekly productivity standards with acceptable QA results. + Other duties as assigned.* **Revenue Cycle Management** + This position will present accounts that need to be placed on the payer agendas as they are not being resolved through the normal dispute process. The accounts are aging on the accounts receivable. + Identification and communication of payer trends that are negatively impacting the overall AR. + Timely and professional communication with outside departments to resolve the billing or follow-up challenge. Consistent and responsive communication with Patient Access and Coding are a must. + Identification of department trends and solution proposals to be presented to Management to address with the departments. Required participation in meetings to resolve. These could include practices, hospital departments, as well as departments within the revenue cycle. + Ownership of the more complicated accounts and mentor staff so they can understand and identify what is needed for these accounts. + Ability to create custom reports in Epic as required. + Suggest, outline, and collaborate with leadership to update policy and procedures (workflows) as needed + Increase knowledge and efficiency within the department. + Increase contract knowledge and calculations on the accounts. Begin to collaborate with the Contract Variance Team on accounts. **Qualifications*** High School Diploma/G.E.D. - required* Associate's Degree - preferred* 2+ years medical billing experience - required* Strong Epic Resolute billing experience - required* 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 - preferredEquivalent 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 Thank you for your interest in Albany Medical Center! 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.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.
- J-18808-Ljbffr Albany Medical College
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Medical Billing Specialist in Albany, NY vacancy
- Workit Health in Albany, NY is seeking a full-time Medical Payment Poster to join our revenue cycle team in a hybrid role. You will handle posting, remittance reconciliation, and interdepartmental communication to support accurate insurance processing. The position emphasizes...SuggestedRemote jobFull timeWork at office
- Workit Health is seeking a full-time RCM Specialist to manage rejections and denials, with prior billing for addiction medicine or telemedicine preferred. You will call insurance plans, maintain high customer service standards, and adapt to a fast-paced environment across...SuggestedRemote jobFull timeWork at office
$18 per hour
...Fortune Best Workplaces in Financial Services & Insurance Billing Specialist SHIFT: Tuesday - Saturday 11am - 8pm EST PRIMARY... ...knowledge of billing systems. Expert knowledge of data flows for medical bill review and other charge-to file processes Expert...SuggestedPart timeWork at officeLocal areaShift workSedgwick
Albany, NY5 days ago- ...Healthcare Billing SpecialistIntegritus Healthcare is a long-term care, senior living and... ...for an experienced healthcare billing specialist to join our team. This position has competitive... .../financial accounting, 2 years 25 years medical billing experience preferredEqual...SuggestedWeekly pay
Berkshire Healthcare
Albany, NY5 days ago $21 - $24 per hour
...Job Description Job Description Coding & Billing Specialist Albany, NY (100% On-site) Fusco Personnel is actively recruiting for... ...healthcare team. This role is responsible for ensuring accurate medical coding, timely claims processing, insurance follow-up, and...SuggestedFull timeFusco Personnel, Inc.
Albany, NY10 days ago- ...Detail-oriented, good follow-through* Proficiency in MS Word * Windows environment skills helpful* Knowledge of CPT and ICD10 coding * Medical terminology helpful* Detail and critical thinking skills POSTING CHARGE: Enter charges received from doctor's office on a daily...Work at office
TradeJobsWorkForce
Albany, NY2 days ago $244.24k
...InformationNY HELP: YesAgency: Mental Health, Office ofTitle: Medical Specialist 2 (NY HELPS), Capital District Psychiatric Center, P27851... ...participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you...Permanent employmentFull timeWork at officeRemote workNight shiftWeekend workAfternoon shift- ...times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA...Full timeRemote work
Sharecare
Albany, NY2 days ago $122.12k - $244.24k
...Medical Specialist 2 Occupational Category: Health Care, Human/Social Services Salary Grade: 38 Bargaining Unit: PS&T - Professional, Scientific, and Technical (PEF) Salary Range: From $122117.50 to $244235 Annually Employment Type: Part-Time, Part-time...Permanent employmentPart timeStateJobsNY
Delmar, NY4 days ago$21 - $26 per hour
...Beacon Solutions Group, a subsidiary of The Bonadio Group, is looking for a Billing Specialist. This person will provide billing services and general revenue cycle services to health care clients including nursing home, professional, hospital, D&TC, OPWDD, OASAS, home...Hourly paySummer workWork at officeImmediate startMonday to ThursdayNight shiftBONADIO GROUP , LLP
Albany, NY1 day ago- ...team! We are looking for a Remote GOV CON Closeout Billing Specialist. This role calls for a well-rounded performer who thrives... ...employees receive a limited package tailored to their role): ~ Medical, dental, and vision insurance ~ Robust vacation and sick...Full timeContract workPart timeLocal areaImmediate startRemote workFlexible hours
Serco
Albany, NY1 day ago $21 - $26 per hour
Beacon Solutions Group, a subsidiary of The Bonadio Group, is looking for a Billing Specialist. This person will provide billing services and general revenue cycle services to health care clients including nursing home, professional, hospital, D&TC, OPWDD, OASAS, home...Hourly paySummer workWork at officeMonday to ThursdayNight shift- St. Peter's Health Partners seeks a detail-oriented clerical assistant to support the department's day-to-day operations in Troy, NY. You will handle front-desk tasks, coordinate scheduling, and assist with insurance verification and co-pays, contributing to smooth patient...Hourly pay
- .../check-out, reception, insurance verification, co-pay collection, and appointment scheduling, with daily day-shift hours. A strong self-motivation, positive attitude and solid computer skills are required, along with prior medical office experience. #J-18808-Ljbffr IHAWork at officeDay shift
$20 - $24 per hour
Accendra Health, Inc. is seeking a Delivery Technician in Albany, NY to deliver durable medical equipment to patients in their homes. The role requires driving and delivering equipment, with on-call coverage during regular business hours. The position anticipates an hourly...Hourly pay- Jackson Lewis P.C. is seeking a Billing Coordinator to join our accounting team. The role supports attorneys on billing questions, processes prebills, and ensures accurate invoicing in a timely manner, aligning with firm guidelines and best practices. The successful candidate...
$158.95k - $220k
Build our future together: The Rare Neurology Medical Account Specialist (MS) engages Neurology specialists and key stakeholders across diverse care settings (e.g., academic centers, large group practices, IDNs, and community accounts) within an assigned geography. The...Full timeLocal area$17.5 - $23 per hour
...prepare specimens for transport to lab. Communicate lab results to patients via automated voicemail system. Order and inventory medical supplies. Cancel and reschedule patients when necessary. Document information into patient record in an accurate, legible and...Hourly payFull timeWork experience placementCasual workWork at officeMonday to FridayDay shiftCommunity Care Physicians
Glenmont, NY1 day ago- An Equal Opportunity / Affimative Action Employer CSEA EMPLOYMENT OPPORTUNITY POSTING # 078 DATE OF POSTING: September 2, 2026 POSITION: Anticipated Opening Senior Account Clerk Full-Time / Provisional EFFECTIVE DATE: Immediately ASSIGNMENT: REPORTS TO: Business Office...Full timeContract workWork at officeImmediate start
Troy City School District
Albany, NY1 day ago - St. Peter's Health Partners in New York State seeks a Patient Care Tech at Samaritan Hospital for a full-time, night shift (12-hour). The role involves hands-on patient care under RN supervision, assisting with daily living activities, taking vitals, and documenting care...Full timeNight shiftWeekday work
St. Peter's Health Partners
Albany, NY1 day ago - St. Peter's Health Partners in Albany, NY is seeking a Patient Care Technician for a full-time weekend day shift. You will provide direct hands-on patient care, assist nursing staff, and help ensure high-quality care across Albany, Schenectady and Troy facilities. Experience...Full timeWeekend workDay shift
St. Peter's Health Partners
Albany, NY2 days ago $17.25 - $25 per hour
St. Peter's Hospital in Albany, NY is seeking a Part-time Patient Care Tech for a 12-hour day shift with rotating weekdays, weekends and holidays and no set schedules. As a team member you will provide direct hands-on patient care; CPR certification and a high school diploma...Hourly payPart timeRotating shiftDay shiftWeekday workIHA
Albany, NY1 day ago- Hemodialysis Technician Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance...Immediate start
Fresenius Medical Care
Albany, NY3 days ago - ...Region for three consecutive years is seeking a detail-oriented Billing Assistant to support a growing accounting team. This role... ...lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required...Hourly payTemporary workPart time10 hours per week
AppleOne
Albany, NY6 days ago $63.5k - $90.75k
...Job Description The Senior Billing Coordinator is responsible for processing all billing transactions in coordination with their assigned billing attorneys while utilizing the most effective and efficient procedures and systems. This position provides guidance on complex...Work experience placementWork at officeNixon Peabody
Albany, NY3 days ago- ...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. Albany Medical CenterTemporary workWork at office
$20 - $25.09 per hour
...depending on healthcare experience; experience not required **Benefits:** + Paid 12-week training with preceptor + Comprehensive medical, dental and vision benefits + Life and long-term disability insurance provided at no additional expense to employee + Paid time...Hourly payFull timeFor contractorsShift workDialysis Clinic
East Greenbush, NY4 days ago$21 per hour
...of a team that is dedicated to improving the delivery and quality of healthcare to our Urgent Care patients, while being part of a medical community in which you are supported in your growth as a medical professional. Salary: ~ Starting at $21.00 per hour At WellNow...Hourly payShift work- Check, verify and enter data into financial management system;Process large volumes of complex data rapidly and accurately;Validate data for accuracy and authenticity;Post transactions and transaction batches to general ledger;Daily processing of check payments to vendors...Work experience placement
$41.92k - $54.5k
...details related to patient progress toward the achievement of goals and outcomes to the RN. Documents all care in the patient record. Thank you for your interest in Albany Med Health System! Albany Med Health System is an equal opportunity employer. Albany Medical CenterMonday to FridayAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Billing Specialist. Be the first to apply!
Related searches
- medical specialist Albany, NY
- health care worker Albany, NY
- medical information specialist Albany, NY
- patient care technician Albany, NY
- healthcare support staffing Albany, NY
- health care assistant Albany, NY
- medical records specialist Albany, NY
- patient care technician pct Albany, NY
- patient transport technician Albany, NY
- medical management specialist Albany, NY