Revenue Cycle/Medical Billing – Urology – Clifton Park

Trinity Health•Clifton Park, NY

14h•Onsite

About The Position

This Revenue Cycle Analyst position is for the urology specialty team at St. Peter's Health Partner's in Clifton Park, NY. The role is full-time, day shift, and requires knowledge of health insurance. While coding and EPIC knowledge are not required, they are a plus. The ideal candidate will have a strong medical office background, enjoy collaboration, and be confident in presenting information. The position involves supporting urology practice operations across multiple sites, analyzing reports, and communicating findings. The role also includes monitoring claims work queues, analyzing denial trends, ensuring referral documentation, processing charges, and acting as a site superuser. The company emphasizes honoring the dignity of every person and embracing differences to deliver compassionate, person-centered care.

Requirements

Medical office experience required
Strong understanding of insurance processes
Report analytics skills
Self-motivated, enthusiastic, and professional demeanor
Excellent communication and presentation skills
High school diploma or equivalency required
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 not required but a plus
Medical coding experience preferred but not required
Associates degree preferred

Responsibilities

Support urology practice operations across multiple sites
Utilize insurance knowledge to assist office workflows
Analyze and interpret reports and data
Communicate clearly and confidently, including speaking in front of groups
Monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical Workflow.
Monitor the 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 necessary education to Providers/front-end users.
Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue.
Run monthly reports to identify any outbound referrals and communicate back to Manager for any improvement opportunities.
Ensure all billable services are processed within the EMR in a timely manner.
Ensure all billed services are submitted to insurances as "Clean Claims".
Work 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.