Medical Billing – Albany

Trinity Health•Albany, NY

7d•$20 - $27•Hybrid

About The Position

The Medical Billing / Revenue Cycle Analyst performs clerical duties that support the efficient, service-oriented operation of a medical practice. The role focuses on medical billing, insurance, claims processing, revenue-cycle workflows, charge reconciliation, and resolving claim issues. Coding is a plus but is not required. The position is based at 400 Patroon Creek Blvd, Albany, NY, with office attendance four days per week and remote work one day per week after training. The schedule is Monday through Friday, with no nights or weekends.

Requirements

At least 3 years of experience in a physician practice or billing office.
High school diploma or equivalency required.
Effective written and verbal communication skills.
Demonstrated attention to detail, organization, and effective time management.
Ability to work independently with little supervision.
Knowledge of CPC.
Knowledge of CPT, CPTII, and ICD10.
Knowledge of insurance carriers.
Sound judgment to escalate issues appropriately.
Advanced knowledge of Microsoft Office, related computer programs, and general office machines.
Ability to lift 20 pounds.
Medical billing and insurance background required.

Nice To Haves

Associate degree preferred.
Medical coding knowledge or experience.

Responsibilities

Monitor and resolve claims work queues, particularly Front End, Referrals and Authorizations, and Clinical Workflow.
Monitor Trinity Health Front End Metrics and work with Practice Management to identify educational opportunities.
Review denial, rejection, and write-off dashboards for trends and provide education to providers and front-end users.
Obtain and document referral materials needed to secure appropriate revenue.
Run monthly reports to identify outbound referrals and communicate improvement opportunities to the Manager.
Ensure billable services are processed in the EMR in a timely manner and billed services are submitted to insurers as clean claims.
Review charges in the working queue and submit them to the claims scrubber.
Work claims-scrubber edits in a timely manner.
Identify problematic charges for further review and correction of coding or billing issues.
Adhere to productivity and quality guidelines.
Communicate effectively and professionally with other departments.
Work with the Revenue Cycle Manager to identify feedback needed by practice locations.
Process inpatient charges submitted by providers through an interface tool or manual sheets.
Manually enter assigned charges and complete daily charge reconciliation.
Report outstanding claims to the appropriate contact to ensure timely billing.
Review each claim for appropriate information.
Identify and review high-dollar outstanding balances and ensure financial-assistance options are offered to patients or secured by front-end users.
Provide appropriate feedback from operational departments to the Revenue Integrity team.
Act as the site Superuser and a resource, ensuring patient questions are answered.
Maintain patient confidentiality and adhere to HIPAA regulations.
Perform daily TOS reconciliation with the front end.