Medical Billing/Revenue Cycle – Schenectady

Trinity Health; City of Schenectady (NY); On-site; USD 42,000 - 57,000; Full time

Benefits offered by this job

Quality of Life program

Career development opportunities

Job summary

Trinity Health Mid-Atlantic in Schenectady, NY is seeking a Revenue Cycle Analyst / Medical Billing professional for a full-time day shift. The role focuses on medical billing, claims processing, and revenue cycle optimization within a physician practice.

Office at 625 McClellan Street, with some remote work after training. You will monitor claims queues, ensure clean claims, and collaborate across departments to improve revenue and patient service.

Qualifications

• 3+ years in a physician practice or billing office
• Cardiology billing experience required
• High school diploma or equivalent; Associates degree preferred
• Effective written and verbal communication skills
• Attention to detail, organization & time management
• Ability to work independently
• Knowledge of CPC
• Knowledge of CPT, CPTII, ICD10
• Knowledge of insurance carriers
• HIPAA awareness and compliance
• Able to lift 20 lbs.

Responsibilities

• Monitor and resolve Claims Work queues (Front End, Referrals & Authorizations, Clinical Workflow).
• Monitor Front End Metrics and partner with Practice Management for education opportunities.
• Review denial/rejections and build dashboards to identify trends and educate Providers/Front End users.
• Ensure referral documentation is obtained to secure revenue.
• Run monthly reports to identify outbound referrals and inform Manager of improvements.
• Ensure billable services are processed within the EMR timely and submitted to insurers as Clean Claims.
• Review all charges; submit to claims scrubber and correct issues.
• Identify problematic charges and coordinate review for coding/billing fixes.
• Adhere to productivity/quality guidelines and communicate with other departments.
• Act as Superuser for site and assist patient questions.
• Maintain HIPAA compliance and confidentiality.
• Daily TOS reconciliation with front end

Skills

Billing experience

Communication skills

Attention to detail

Time management

HIPAA compliance

Microsoft Office

Education

High school diploma or equivalent

Associates degree preferred

Tools

Microsoft Office

Job description

Employment Type

Full time Shift: Day Shift Description: 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 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

What you will need

• 3+ years' experience in a physician practice or billing office


• Cardiology 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 CPC


• Knowledge of CPT, CPTII, and ICD10


• Knowledge of insurance carriers


• Solid judgment to elevate issues appropriately


• Advanced knowledge of Microsoft Office, related computer programs & general office machines


• Ability 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.