Grants Revenue Cycle Analyst

St. Vincent's Hospital Westchester • Town/Village of Harrison, NY

1d

About The Position

The Grants Revenue Cycle Analyst handles behavioral health and opioid treatment billing activities, including eligibility verification, analysis of 837i claims files, and management of Medicaid fee-for-service and managed-care and Medicare Part B remittances. The role also manages denials and resubmits corrected claims to designated insurance payers.

The position maintains the clinical EHR system and updates patient information—including demographics, guarantor and eligibility information, and client ledgers—to support data integrity and compliance. Reporting duties include managing payer remittances and remittance data, preparing weekly reports on clinical services and patient volumes for clinic and management review, managing EHR-generated reports, and completing ad hoc reporting projects.

The successful candidate is detail-oriented, knowledgeable about medical terminology and billing, and demonstrates strong communication, organizational, and problem-solving skills to meet individual and departmental objectives.

Requirements

• Bachelor’s degree.
• 1–3 years of patient accounts or revenue cycle management experience.
• Knowledge of medical terminology and billing.
• Strong communication, organizational, and problem-solving skills.
• Proficiency in Microsoft Word, Outlook, and Excel.

Nice To Haves

• Experience in behavioral health or opioid treatment program claims management.
• Knowledge of CPT and ICD-10 coding.
• Experience with claim submissions, resubmissions, and analysis.
• Experience maintaining EHR systems.

Responsibilities

• Verify patient eligibility.
• Analyze 837i claims files.
• Manage Medicaid fee-for-service, Medicaid managed-care, and Medicare Part B remittances and remittance data.
• Manage denials and resubmit corrected claims to designated insurance payers.
• Maintain the clinical EHR system and update patient demographics, guarantor and eligibility information, client ledgers, and other patient data.
• Prepare weekly reports on clinical services and patient volumes for clinic and management review.
• Manage EHR-generated reports.
• Complete ad hoc reporting projects as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level