Grants Revenue Cycle Analyst

Samhsa; New York (NY); On-site; USD 63,000 - 77,000; Full time

Job summary

St. Joseph’s Hospital, Yonkers (St. Vincent’s Westchester Division - Harrison Campus) seeks a Grants Revenue Cycle Analyst to oversee eligibility verification, claims analysis, and remittance management for behavioral health/opioid treatment billing.

The role requires a Bachelor’s degree and 1–3 years in patient accounts/RCM, CPT/ICD-10 knowledge, and proficiency in Microsoft Word, Outlook, and Excel. Strong communication and data integrity skills are essential.

Qualifications

• Bachelor’s degree required.
• 1–3 years of patient accounts/RCM management experience.
• Experience in behavioral health/OTP claims management and EHR maintenance.
• Proficiency in Word, Outlook and Excel.

Responsibilities

• Verify eligibility and analyze 837i claims for opioid/behavioral health services.
• Manage remittances and data for Medicaid, Medicare Part B EOBs.
• Handle denial management and resubmission of corrected claims.
• Update and maintain clinical EHR data for accuracy and compliance.
• Prepare weekly reports on clinical services and patient volumes.
• Support ad hoc reporting and data integrity initiatives.

Skills

Attention to detail

Communication

Organizational skills

Problem solving

Education

Bachelor’s degree

Tools

Microsoft Word

Outlook

Excel

Job description

St. Joseph’s Hospital, Yonkers (St. Vincent’s Westchester Division - Harrison Campus)

Grants Revenue Cycle Analyst

• Position reports to Director of Opioid Revenue Cycle Management and is responsible for various aspects related to behavioral health/opioid treatment billing including, but not limited to, eligibility verification, claims analysis of 837i files, and remittance management of Medicaid FFS/Managed Care & Medicare Part B EOB’s. Also, candidate will be responsible for denial management and resubmission of corrected claims to designated insurance payers.
• Additionally, position will be responsible for update/maintenance of clinical EHR system ensuring accurate patient data such as patient demographics, current guarantor/eligibility, client ledger, etc., and additional patient related data are routinely updated in EHR system to ensure data integrity and compliance.
• Reporting requirements include management of payer remittances and remittance data, weekly reporting of clinical services and patient volumes for clinic/management review, data management of EHR system generated reports, and various ad hoc reporting projects as assigned.
• Successful candidate should be detail-oriented and knowledgeable of medical terminology and billing, preferably in behavioral health/opioid treatment programs. Ultimately, an outstanding patient account representative should demonstrate exceptional communication, organizational, and problem solving skills in an effort to achieve individual tasks and departmental objectives.
• Required qualifications include a Bachelor’s degree and 1-3 years of patient accounts/RCM management. Preferable experience in the field of behavioral health/OTP claims management, knowledge of CPT/ICD-10 coding, claim submissions/resubmission/analysis, and EHR maintenance. Proficiency in Microsoft Word, Outlook, and Excel also required for position.

Salary Range: $70k based on position related qualifications and experience.