Medical Billing​/Rev Cycle Analyst – Ortho Team - Albany

Revenue Cycle / Billing Analyst – Ortho Team - Albany - FT

Join to apply for the Revenue Cycle / Billing Analyst – Ortho Team - Albany - FT role at St. Peter's Health Partners

Revenue Cycle / Medical Billing Analyst – Orthopedics Team – Albany, NY - FT. If you are looking for a Revenue/Billing position in Albany, Full time, this could be your opportunity. This position is located at 425 New Scotland Avenue, Albany, NY.

Full time

Day Shift

• Quality of Life:
  Where career opportunities and quality of life converge
• Advancement:
  Strong orientation program, generous tuition allowance and career development
• Office
  
  Hours:
  
  Monday - Friday, no nights, no weekends

The Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/insurance background is a must. Coding is not required but a plus.

• Monitor and resolve Claims Work queues, specifically Front End, Referrals & Authorizations, and Clinical Workflow.
• Monitor Trinity Health Front End Metrics and work with Practice Management to identify educational opportunities as necessary.
• Review 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.
• Run monthly reports to identify outbound referrals and communicate opportunities to the Manager.
• Ensure all billable services are processed within the EMR in a timely manner.
• Submit all billed services to insurances as "Clean Claims".
• Review charges in the working queue and submit to claims scrubber; address edits promptly.
• Identify problematic charges for further review to correct coding/billing issues.
• Adhere to productivity/quality guidelines and communicate effectively with other departments.
• Collaborate with Revenue Cycle Manager to identify feedback for practice locations.
• Process inpatient charges submitted by providers via interface tool or manual sheets; manually enter charges as assigned and reconcile daily.
• Report any outstanding claims to ensure timely billing; review each claim for completeness.
• Identify high-dollar outstanding balances and offer/secure Financial Assistance options as appropriate.
• Provide feedback from operational departments to Revenue Integrity team as appropriate.
• Act as a Superuser for the site and a resource to answer patient questions.
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Daily TOS reconciliation with front end.

• High school diploma or equivalency required; associate's degree preferred.
• Effective written and verbal communication skills.
• 3+ years' experience in a physician practice or billing office.
• Orthopedics experience required.
• Attention to detail, organization, and effective time management.
• Ability to work independently with little supervision.
• Knowledge of CPC; CPT, CPTII, ICD-10; and knowledge of insurance carriers.
• Solid judgment to escalate issues appropriately.
• Advanced knowledge of Microsoft Office and related computer programs.
• Ability to lift 20 lbs.

$18.50-$24.66 per hour. Pay is based on experience, skills, and education. Exempt positions under FLSA will be paid within the base salary equivalent of the stated hourly rates. Pay range may vary by location.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.