Revenue Cycle Analyst - Ft/Days

Employment Type:

Full time

Shift:

Description:

Revenue Cycle Analyst

If you are looking for a Revenue cycle Analyst position in the capitol region, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places.

Looking for someone with a motivated, go getting personality.

1 work-from-home day per week.

Position Highlights:

• Recognized leader: Magnet Hospital in the Capital Region

• Quality of Life: Where career opportunities and quality of life converge

• Advancement: Strong orientation program, generous tuition allowance and career development

What you will do:

The Revenue Cycle Analyst is responsible for performing a variety of clerical duties related to the efficient and service oriented revenue operations of a medical practice. The Revenue cycle Analyst will perform all job functions in a courteous and professional manner consistent with the mission and core values of St Peter's Health Partners Medical Associates.

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 revenue 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

• Work cooperatively with all team members to ensure quality service at all times.

• Perform mandatory in-service training. Maintain a clean and safe work environment.

• Adhere to the St Peter's Health Partner's Medical Associates Code of Conduct in performance of all job duties.

• May be responsible for multiple Providers or Departments.

• Travel will be required as assigned by operational leader.

• Perform other duties as assigned.

• Report out to managers weekly on revenue data and updates

• Attend mandatory meetings

What you will need:

• High school diploma or equivalency required; Associates degree preferred.

• Effective written and verbal communication skills

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

• 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 escalate issues appropriately

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

• Ability to lift 20 lbs.

Pay Range: $19.20-$25.58

Pay is based on experience, skills, and education. 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 to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.