Grants Revenue Cycle Analyst

Saint Joseph's Medical Center • Westchester, NY

1d

About The Position

The Grants Revenue Cycle Analyst supports behavioral health and opioid treatment billing and revenue cycle activities. The role includes eligibility verification, analysis of 837i claims files, and management of Medicaid Fee-for-Service, Medicaid Managed Care, and Medicare Part B remittances and EOBs. The analyst also manages denials and resubmits corrected claims to designated insurance payers.

The position maintains and updates the clinical EHR system to ensure the accuracy and integrity of patient information, including demographics, guarantor and eligibility details, and client ledgers. Reporting duties include managing payer 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 as assigned.

The successful candidate is detail-oriented, knowledgeable about medical terminology and billing, and demonstrates strong communication, organizational, and problem-solving skills. The position reports to the Director of Opioid Revenue Cycle Management.

Requirements

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

Nice To Haves

• Experience in behavioral health or opioid treatment program claims management.
• Knowledge of CPT and ICD-10 coding.
• Experience with claim submission, resubmission, 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 EOBs.
• Manage denials and resubmit corrected claims to designated insurance payers.
• Update and maintain clinical EHR data, including patient demographics, guarantor and eligibility information, and client ledgers.
• Manage payer remittances and remittance 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: Mid Level