Revenue Cycle / Billing – Medical Group –Albany - PT

Trinity Health • Albany, NY

1d • Hybrid

About The Position

This Revenue Cycle Analyst position is located at 425 New Scotland Avenue, Albany, NY. This role is part-time and focuses on the efficient and service-oriented operation of a medical practice within the Medical Group. Coding and EPIC knowledge are not required but are considered a plus. Knowledge of health insurance is mandatory. After a probation period, one work-from-home day per week is permitted. The position operates on a Monday-Friday schedule, with 20 hours per week, and does not involve nights, weekends, or holidays. The role requires the ability to move throughout office environments, attend in-person meetings, and perform tasks requiring mobility within and around the workplace.

Requirements

• 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

• Associates degree preferred.
• Coding and EPIC knowledge not required but a plus.
• Coding and EPIC knowledge not required but a plus.

Responsibilities

• Monitor and resolve Claims Work queues, specifically Front End, Referrals & Authorizations, and Clinical Workflow.
• Monitor Trinity Health Front End Metrics and collaborate 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 outbound referrals and communicate findings to the Manager for 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 the claims scrubber.
• Address all claims scrubber edits in a timely basis.
• Identify 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 the Revenue Cycle Manager to identify needed feedback for 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 the 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 the Revenue Integrity team as appropriate.
• Act as a Superuser for the site and serve as a resource to ensure patient questions are answered.
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Perform Daily TOS reconciliation with the front end.

Benefits

• Quality of Life: Where career opportunities and quality of life converge
• Advancement: Strong orientation program, generous tuition allowance and career development

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED