Revenue Cycle Analyst – Medical Group –Albany, NY

Employment Type: Full time

Shift: Day Shift

If you are looking for a Revenue Cycle/Billing position in Albany, Full time, this could be your opportunity. Here er'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.

Physical requirements:

Must be able to move throughout office environments, including walking between departments, attending in-person meetings. and performing tasks that require mobility within and around the workplace. This position also requires monthly on-site visits to a department located in a different facility within the organization. (capital region area)

• 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

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.

• 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

• 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 ICD
  10
• Knowledge of insurance carriers
• Solid judgment to escalates issues appropriately
• Advanced knowledge of Microsoft Office, related computer programs & general office machines
• Ability to lift 20 lbs.

$18.50- $24.66

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the…