Medical billing analyst - Columbia Memorial Hospital

Department/Unit:
Physicians Billing

Work Shift:

Day (United States of America)
Salary Range: $46,947.00 - $65,726.00

The Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role focuses on timely follow‑up on accounts that have already been billed but need re‑billing, no‑response inquiries, and complex denials requiring professional narrative and supporting documentation. The incumbent must learn quickly, work independently, and use payer websites to locate policies that impact timely payment.

Communication with peers, trainers, and leaders is essential to success.

• Resolve intricate billing edits and determine necessary rebilling actions.
• Follow up on No Response Work Queues and contact payers via phone, email, or website platforms.
• Locate denials or remittances on payer websites and respond to denials with re‑billing or appeals, as appropriate.
• Collaborate professionally with internal or external departments, notably coding, to resolve edits or denials.
• Identify and present payer trends that affect claims, and work with leadership to mitigate them.
• Maintain proper and detailed notation of actions taken on accounts, supporting future follow‑up.
• Navigate payer websites to obtain policy, adjudication, and denial information.
• Use Epic, OnBase, and other platforms proficiently.
• Work independently under time constraints, prioritize workload effectively, and articulate potential resolution avenues.
• Meet daily and weekly productivity standards with acceptable quality assurance results.
• Perform other duties as assigned.

• Identify accounts requiring placement on payer agendas due to unresolved disputes.
• Focus on aging accounts receivable over 60 days and mitigate negative payer trends.
• Communicate timely and professionally with outside departments, including Patient Access and Coding.
• Identify departmental trends for management review and resolution.
• Participate in leadership‑initiated activities across hospital departments and revenue cycle units.
• Build an understanding of expected reimbursements and report interpretation to ensure correct payments.

• High School Diploma or G.E.D. – required.
• Associate’s Degree – preferred.
• Prior office experience – preferred.
• Medical billing or claims knowledge – preferred.
• Ability to work independently and within a team.
• Excellent verbal and written communication skills.
• Strong learning and instructional comprehension skills.
• Effective prioritization and execution in a high‑volume environment.
• Microsoft Office and website knowledge.
• CCS‑Certified Coding Specialist (CIC) or Certified Outpatient Coder (COC) – upon hire preferred.
• Equivalent combination of relevant education and experience may be substituted as appropriate.

This role may require access to information considered sensitive to Albany Med Health System, including HIPAA protected health information, and other information regulated by federal and New York State statutes. Workforce members are expected to ensure access is based on a “need to know” and is the minimum necessary to perform duties, and to protect information from unauthorized access or modification.

Albany Med Health System is an equal opportunity employer.