Medical Billing/Revenue Cycle – Schenectady

St. Peter's Health Partners; City of Schenectady (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

St. Peter's Health Partners is seeking a Revenue Cycle Analyst / Medical Billing professional in Schenectady, NY for a full-time, office-based role.

The position requires medical billing and insurance knowledge. Coding is a plus. The analyst will monitor claims, denials, and referrals to ensure timely revenue cycle operations and quality outcomes.

Qualifications

• Medical billing and insurance knowledge is required.
• Coding knowledge is a plus.
• Office-based with one remote day per week after training.
• Strong attention to detail and ability to work with front-end queues.

Responsibilities

• Monitor and resolve Claims Work queues (Front End, Referrals & Authorizations, Clin. Workflow).
• Review denials/rejections and identify trends for education to Providers/front-end users.
• Ensure all billable services are processed in the EMR in a timely manner.
• Submit billed services to insurances as 'Clean Claims'.
• Run monthly reports to identify outbound referrals and improvements with Manager.
• Adhere to productivity/quality guidelines and professional communication.

Skills

Medical Billing

Insurance Knowledge

Claims Monitoring

Denial Resolution

EMR Systems

Tools

EMR System

Job description

Employment Type:Full timeShift:Day ShiftDescription:

Revenue Cycle Analyst / Medical Billing – Schenectady, NY - FT

This position is based in the office at 625 McClellan Street, Schenectady, 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 to 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 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