Grants Revenue Cycle Analyst

St.Vincent's Hospital Westchester; Town/Village of Harrison (NY); On-site; USD 63,000 - 77,000; Full time

Job summary

St. Vincent's Hospital Westchester is seeking a Grants Revenue Cycle Analyst to manage eligibility verification, claims analysis (837i), and remittance administration for Medicaid/Managed Care and Medicare Part B EOBs.

The role also covers EHR data maintenance, data integrity, denial management, and weekly reporting of clinical services and patient volumes. A Bachelor’s degree and 1–3 years in patient accounts/RCM are required, with knowledge of CPT/ICD-10 coding and Excel skills.

Qualifications

• Bachelor’s degree required with 1–3 years in patient accounts/RCM.
• Experience with behavioral health/OTP claims preferred.
• Proficiency in CPT/ICD-10 coding and claim submissions.
• Strong Excel, Word, and Outlook skills.

Responsibilities

• Verify eligibility and analyze 837i claims for billing.
• Manage remittances and Medicaid/Medicare EOBs.
• Maintain EHR data accuracy for patient demographics and eligibility.
• Prepare weekly service and patient volume reports.
• Support denial management and resubmission processes.

Skills

Medical terminology

Billing/RCM

Data management

Communication

Education

Bachelor’s degree

Tools

Microsoft Word

Microsoft Excel

Outlook

EHR systems

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.