Billing Support Specialist VI
2 weeks ago
Department/Unit: Physicians Billing
Work Shift: Day (United States of America)
Salary Range: $21.60
This position focuses on medical billing within a physician's practice. A key responsibility is to ensure efficient and timely follow-up on overdue and denied accounts from third-party payers. This role is vital for securing revenue for services rendered by physicians at Albany Medical Center through appeals, phone communications, and thorough account reviews.
Qualifications:
- High school diploma or GED is mandatory; an Associate's degree is preferred.
- Experience in customer service is essential.
- Prior experience in phone-based customer service is advantageous.
- Proficiency in office applications, particularly Excel and Word, is required.
- Familiarity with payer websites is necessary.
- Ability to thrive in a collaborative team setting.
- Effective verbal and written communication skills are crucial.
- Capability to manage multiple tasks in a fast-paced environment.
- Strong organizational and interpersonal skills are essential.
Essential Duties and Responsibilities:
- Examine charges and data for precision and address discrepancies related to CPT-4 and ICD-10 codes with insurance providers.
- Validate and amend registration and insurance details, ensuring correct claim submissions.
- Conduct research and interpret information to effectively reconcile accounts.
- Review and comprehend payer policy guidelines concerning billing practices.
- Adhere to internal policies and procedures for accurate account evaluations.
- Meet expected production and quality benchmarks.
- Perform other related duties as assigned.
Comprehensive on-the-job training will be provided to equip you with the necessary knowledge and skills to fulfill the responsibilities of this role. The work schedule for this position is Monday through Friday during daytime hours.
Albany Medical Center is an equal opportunity employer.
This role may involve access to sensitive information related to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other data regulated by Federal and New York State laws. Workforce members are expected to ensure that:
- Access to information is based on a need-to-know basis and is the minimum necessary to perform assigned duties.
- Use or disclosure shall not exceed the minimum amount of information needed to achieve an intended purpose.
- Reasonable efforts, in line with Albany Medical Center policies and standards, shall be made to protect information from unauthorized access and modification.
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