Department/Unit: Patient Billing Service Work Shift: Day (United States of America) Salary Range: $15.00 - $21.60 Albany Medical Center is currently looking for motivated, positive, and energetic individuals to work in a high-volume, fast-paced, progressive work environment. Ideal candidates should be familiar with commercial and governmental hospital (technical) reimbursement methodologies, understand hospital billing and be familiar with managed care. Candidates must be proficient in Microsoft Suite, including Teams, and have working experience in a healthcare setting. 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 Med is the centerpiece of medicine, research, and medical education in New York’s Capital Region and is the area's largest private employer with more than 10,000 employees. Albany Med 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 lower copays at most Albany Med providers. A wide array of services and programs to support emotional, physical, and mental wellbeing Anchored in the state’s historic capital city, Albany Med offers a full range outpatient and inpatient care and is home to the region’s largest hospital, only Level 1 trauma center, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College. Albany Med partners with Columbia Memorial Health, Saratoga Hospital and Glens Falls Hospital to form the Albany Med Health System, serving more than three million people over 25 counties.