Albany Medical Center

Medical Billing and Coding

• Medical Billing Associate handles billing and follow up of medical claims
• Focus on pre-billing edits and introductory payer denials
• Initiate appeals or rebill claims to address denials
• Work independently to meet production standards
• Communicate with peers, trainers, and leaders
• Resolve billing edits and respond to denials on accounts as assigned
• Collaborate with internal/external departments as needed
• Recognize payer trends and communicate them to leaders

Medical Billing Associate

Operations

• Responsible for the strategic leadership and management of activities and services related to professional coding operations
• Develops strategy and establishes efficiencies that align with the organizational goals
• Oversees the coding team, developing goals and objectives, and establishing policies and procedures for team operations
• Positioning the AMHS professional coding operation for financial and operational sustainability
• Analyzes and establishes plans to ensure that AMHS professional coding services are progressive and effective

Director of Professional Coding Operations

Controller

• Lead monthly financial reporting for the Albany and Columbia Memorial campus, including comparing actual results to budget and reconciling variances.
• Review of account reconciliations, monthly expenses and income for unusual or unexpected items and ensure accuracy and integrity of all financial reports.
• Oversee the daily, monthly and annual accounting for cash and long-term investments (non-debt related), including audited footnotes.
• Oversight of all accounting relating to the Albany campus Foundation department.
• Preparation of financial accounting and analysis of Pension and Health Insurance plans.
• Preparation for Albany Medical Health System (AMHS) monthly reporting, including Finance Committee packages, executive reports, and custom analyses.
• Direct the collection, compilation, and submission of IRS and New York State reporting requirements.
• Oversee annual surveys for Foundation, Capital, and Census data.
• Manage preparation and submission of federal and state tax returns, including Group Return, 1098-T, sales tax filings, and 5500s for benefit plans.
• Serve as a key participant in preparing the annual budget for Albany campus.
• Oversee development of projected financial information for the Columbia Memorial campus and preparation of the projected financial information for the Albany Campus.
• Collaborate with Treasury to monitor and prepare cash flow forecasts.
• Provide leadership for General Ledger, Reporting, and Payroll IT system components.
• Mentor team members, develop growth plans, and prepare annual performance appraisals in partnership with Directors.
• Work closely with Department Heads and supervisory personnel across the organization.
• Represent the Finance function with external auditors and the Systemwide Audit & Compliance Committee.
• Review Financial Reporting policies and procedures to ensure compliance, efficiency, and continuous improvement.
• Lead interpretation and implementation of new FASB guidance and other accounting standards.
• Participate in setting annual and quarterly goals for the Financial Reporting team.
• Complete special projects and analytical reports as assigned by the Controller and Vice Presidents of Finance or CFO.

Assistant Controller

• Resolve the more intricate billing edits as assigned.
• Follow up on the No Response WQs as assigned.
• Communicate with the payer via phone, email, or website platforms as needed.
• Respond to denials received on accounts as assigned.
• Collaborate professionally internally or with external departments when needed to resolve the edit or denial.
• Identify and present the payer trends amongst the claims that are editing for similar reasons.
• Proper and detailed notation of actions taken on the account.
• Review, understand, and locate payer policy guidelines as required.
• Ability to work independently and under time constraints and deadlines and with minimal supervision.
• Meet daily/weekly productivity standards with acceptable QA results.

Medical Billing Analyst

Manager

• Overseeing the billing staff.
• Daily external contact with Federal/State agencies and third-party payers.
• Completing an analysis of open accounts and denials each month.
• Working with departments to reduce future denials.
• Serving as the knowledge resource for all billing questions posed by the team and executive leadership.

Manager, Patient Billing Services

Security Analyst

• Develop and implement a comprehensive information security program
• Define security policies, processes and standards
• Select and deploy technical controls to meet specific security requirements
• Facilitate information security investigations
• Assure that the controls environment adheres to National Institute of Standards and Technology (NIST) frameworks
• Provide on-call, extended weekday and weekend support for on-site and off-site locations, as warranted by critical business requirements

Information Technology Security Analyst IV

• Resolve the more intricate billing edits as assigned.
• Follow up on the No Response WQs as assigned.
• Communicate with the payer via phone, email, or website platforms as needed.
• Respond to denials received on accounts as assigned.
• Collaborate professionally internally or with external departments when needed to resolve the edit or denial.
• Identify and present the payer trends amongst the claims that are editing for similar reasons.
• Proper and detailed notation of actions taken on the account.
• Review, understand, and locate payer policy guidelines as required.