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Albany Medical Center

Medical Billing Specialist

Albany Medical Center

Medical Billing Specialist resolving complicated billing denials within Albany Med Health System. Collaborating with internal teams and presenting findings to leadership in a positive environment.

Posted 6/19/2026full-timeGlens Falls • New York • 🇺🇸 United StatesJuniorMid-Level💰 $49,763 - $69,668 per yearWebsite

About the role

Key responsibilities & impact
  • Resolve all levels of denials.
  • Professional appeal submission with supporting documentation.
  • Identify and present the payer trends amongst the claims that are denying.
  • Communicate and work with the leaders to mitigate.
  • Collaborate professionally internally or with external departments when needed to resolve the edit or denial.
  • Present appropriate accounts for payer agendas with clear rationale and supporting documentation.
  • Ability to be the learning partner for peers.
  • Manage and complete assigned projects timely.
  • Proper and detailed notation of actions taken on the account.
  • 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.
  • Meet daily/weekly productivity standards with acceptable QA results.

Requirements

What you’ll need
  • 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 - preferred
  • Equivalent combination of relevant education and experience may be substituted as appropriate.

Benefits

Comp & perks
  • Excellent health care coverage with no copay at Albany Medical Center providers
  • A wide array of services and programs to support emotional, physical, and mental wellbeing

ATS Keywords

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Hard Skills & Tools
medical billingEpic Resolute billingclaim adjudicationpayer policy guidelinesproject managementdocumentationproductivity standardsquality assurance
Soft Skills
communicationcollaborationindependenceteamworkprioritizationlearningexecution
Certifications
High School DiplomaAssociate's DegreeCCS-Certified Coding SpecialistCertified Inpatient Coder (CIC)Certified Outpatient Coder (COC)