Medical Biller

Saint Mary's Hospital; City of Albany (NY); Hybrid; USD 28,000 - 37,000; Full time

Job description

Revenue Cycle Analyst / Medical Billing – Albany, NY - FTThis position is located at 326 S. Pearl Street, Albany, NY. If you are looking for a Medical Billing / Revenue Cycle position in Albany, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places.We are searching for a motivated medical biller for our team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and allowed work remote 1 day a week after Training.

Position Highlights:

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

What you will do:

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 a must. Coding not required but a plus.

Responsibilities:

• 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 scrubberWork all claims scrubber edits in a timely basisIdentify any problematic charges for further review to correct coding/billing issuesAdhere to productivity/quality guidelinesCommunicate effectively and professionally with other departments within the organizationWork with Revenue Cycle Manager to identify needed feedback to practice locations.
• Process inpatient charges submitted by providers via interface tool or manual sheetsManually enter charges as assigned and complete charge reconciliation daily.
• Report any outstanding claims to contact to ensure all claims are billed timelyReview 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 appropriateAct 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

What you will need:

• 3+ years' experience in a physician practice or billing office
• Orthopedics Billing experience required
• High school diploma or equivalency required; Associates degree preferred.
• Effective written and verbal communication skills
• Demonstrated attention to detail, organization & effective time management
• Ability to work independently with little supervision
• Knowledge of CPCKnowledge of CPT, CPTII, and ICD10Knowledge of insurance carriersSolid judgment to elevate issues appropriatelyAdvanced knowledge of Microsoft Office, related computer programs & general office machinesAbility to lift 20 lbs.

Pay Range :

$20.20 - $27.47 Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our Commitment

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. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. 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.