Revenue Cycle & Billing Analyst

St. Peter's Health Partners, Inc.; City of Albany (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider in Albany is seeking a Revenue Cycle / Medical Billing Analyst for its orthopedics team. This full-time position requires a motivated individual with medical billing experience. Responsibilities include managing claims, ensuring timely billing, and supporting doctors in practice management. The ideal candidate should have at least 3 years of relevant experience and knowledge of medical billing processes. A salary range of $18.50 - $24.66 per hour is offered based on skills and experience.

Benefits

Advancement opportunities

Generous tuition allowance

Quality of life-oriented work environment

Qualifications

• 3+ years of experience in a physician practice or billing office required.
• Knowledge of CPC; familiarity with CPT, CPTII, ICD-10, and insurance carriers.
• Orthopedics experience is a must.

Responsibilities

• Monitor and resolve Claims Work queues effectively.
• Ensure all billable services are processed in a timely manner.
• Collaborate with Practice Management to improve processes.

Skills

Medical billing knowledge

Attention to detail

Effective communication skills

Organizational skills

Education

High school diploma or equivalency

Associates degree preferred

Tools

Microsoft Office

EMR software

Job description

Overview

Revenue Cycle / Medical Billing Analyst – Orthopedics Team – Albany, NY - FT. This position is located at 425 New Scotland Avenue, Albany, NY.

Searching for a motivated medical biller for our orthopedics team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4 out of 5 days a week and 1 allowed work from home day a week.

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 or 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 is a must. Coding is not required but a plus.

Responsibilities

• Monitor and resolve Claims Work queues, specifically Front End, Referrals & Authorizations, and Clinical Workflow.
• Monitor Trinity Health Front End Metrics and collaborate with Practice Management to identify educational opportunities.
• Review denial/rejections and write-off dashboards for trends; provide education to Providers/front-end users.
• Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue.
• Run monthly reports to identify outbound referrals and communicate opportunities to the Manager.
• Ensure all billable services are processed within the EMR in a timely manner.
• Submit all billed services to insurances as "Clean Claims"
• Review charges in the working queue and submit to claims scrubber; address scrubber edits timely.
• Identify problematic charges for review to correct coding/billing issues.
• Adhere to productivity/quality guidelines and communicate effectively with other departments.
• Work with Revenue Cycle Manager to identify feedback for practice locations.
• Process inpatient charges submitted by providers via interface tool or manual sheets; manually enter charges and complete charge reconciliation daily.
• Report any outstanding claims to ensure timely billing.
• Review each claim for appropriate information; identify high-dollar outstanding balances and offer Financial Assistance options as appropriate.
• Provide feedback from operational departments to Revenue Integrity team as appropriate.
• Act as a Superuser for the site and assist with patient questions; maintain patient confidentiality and HIPAA compliance.
• Daily Time of Service reconciliation with front end.

What You Will Need

• High school diploma or equivalency required; Associates degree preferred.
• Effective written and verbal communication skills.
• 3+ years of experience in a physician practice or billing office.
• Orthopedics experience required.
• Attention to detail, organization and time management.
• Ability to work independently with little supervision.
• Knowledge of CPC; knowledge of CPT, CPTII, ICD-10; 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

$18.50 - $24.66 per hour. 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 vary 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.