Revenue Cycle Analyst – Medical Group –Albany, NY - FT

Trinity Health • Albany, NY

75d • $18 - $24

About The Position

Revenue Cycle Analyst – Medical Group – Albany, NY - FT If you are looking for a Revenue Cycle/Billing position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located at 4 Palisades Drive, Albany, NY, and has the opportunity to work remote 1 day a week. This Revenue Cycle Analyst is needed for the medical group. Coding and EPIC knowledge not required but a plus. Must have knowledge of health insurance. After probation period 1 work from home day a week allowed. No nights no weekends no holidays. One work from home day a week.

Requirements

• High school diploma or equivalency required; Associates degree preferred.
• Effective written and verbal communication skills.
• 3+ years' experience in a physician practice or billing office.
• Demonstrated attention to detail, organization & effective time management.
• Ability to work independently with little supervision.
• Knowledge of CPC.
• Knowledge of CPT, CPTII, and ICD10.
• Knowledge of insurance carriers.
• Solid judgment to escalate issues appropriately.
• Advanced knowledge of Microsoft Office, related computer programs & general office machines.
• Ability to lift 20 lbs.

Nice To Haves

• Coding and EPIC knowledge.

Responsibilities

• Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow.
• Responsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary.
• Responsible for review of denial/ rejections and write off dashboards for trends and provide necessary education to Providers/ front end users.
• Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue.
• Responsible for running monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities.
• Ensures all billable services are processed within the EMR in a timely manner.
• Ensures all billed services are submitted to insurances as 'Clean Claims'.
• Works within the working queue to review all charges and submit to claims scrubber.
• Work all claims scrubber edits in a timely basis.
• Identify any problematic charges for further review to correct coding/billing issues.
• Adhere to productivity/quality guidelines.
• Communicate effectively and professionally with other departments within the organization.
• Work with Revenue Cycle Manager to identify needed feedback to practice locations.
• Process inpatient charges submitted by providers via interface tool or manual sheets.
• Manually enter charges as assigned and complete charge reconciliation daily.
• Report any outstanding claims to contact to ensure all claims are billed timely.
• Review each claim for appropriate information.
• Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/or secured by Front End users.
• Provide necessary feedback from operational departments to Revenue Integrity team as appropriate.
• Act as a Superuser for the site and act as a resource, to ensure patient questions are answered.
• Maintain patient confidentiality and adhere to HIPAA regulations as appropriate.
• Daily TOS reconciliation with front end.

Benefits

• Generous tuition allowance.
• Career development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees