St. Peter's Health Partners
Revenue Cycle Analyst – Medical Group –Albany, NY - FT
St. Peter's Health Partners, Albany, New York, United States
Revenue Cycle Analyst – Medical Group – Albany, NY - FT
Join to apply for the Revenue Cycle Analyst – Medical Group – Albany, NY - FT role at St. Peter's Health Partners.
Key Details
Full-time, Day Shift
Location: 4 Palisades Drive, Albany, NY (remote 1 day a week)
No nights, no weekends, no holidays
After probation: 1 work-from-home day per week allowed
Physical requirement: able to move throughout office environments, including walking between departments, attending in-person meetings, and perform tasks that require mobility within and around the workplace.
Monthly on-site visits to a department located in a different facility within the organization (Capital Region area)
Responsibilities
Monitor and resolve claims work queues (Front End, Referrals & Authorizations, Clinical Workflow).
Track Trinity Health Front End metrics and collaborate with Practice Management to identify educational opportunities.
Review denial/rejection and write‑off dashboards for trends; provide education to providers/front‑end users.
Ensure referral documentation is obtained and documented to secure appropriate revenue.
Run monthly reports to identify outbound referrals and communicate opportunities to management.
Process all billable services within the EMR promptly and submit to insurances as "Clean Claims".
Review all charges and submit to claims scrubber; work all scrubber edits in a timely fashion.
Identify problematic charges for further review to correct coding/billing issues.
Adhere to productivity/quality guidelines and communicate effectively with other departments.
Collaborate with Revenue Cycle Manager on needed feedback for practice locations.
Process inpatient charges submitted by providers via interface tool or manual sheets; enter charges and complete charge reconciliation daily.
Report outstanding claims to ensure timely billing; review each claim for appropriate information.
Identify and review high dollar outstanding balances; ensure financial assistance options are offered to patients.
Provide necessary feedback from operational departments to Revenue Integrity team.
Act as a Superuser for the site and answer patient questions.
Maintain patient confidentiality and adhere to HIPAA regulations.
Daily TOS reconciliation with front‑end.
Qualifications
High school diploma or equivalency required; Associate’s degree preferred.
Effective written and verbal communication skills.
3+ years’ experience in a physician practice or billing office.
Demonstrated attention to detail, organization, and effective time management.
Ability to work independently with little supervision.
Knowledge of CPC, CPT, CPT II, and ICD-10.
Knowledge of insurance carriers.
Solid judgment to appropriately elevate issues.
Advanced knowledge of Microsoft Office and general office machines.
Ability to lift 20 lbs.
Experience with coding and EPIC knowledge is a plus.
Pay Range $18.50–$24.66 per hour. Pay is based on experience, skills, and education.
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.
#J-18808-Ljbffr
Key Details
Full-time, Day Shift
Location: 4 Palisades Drive, Albany, NY (remote 1 day a week)
No nights, no weekends, no holidays
After probation: 1 work-from-home day per week allowed
Physical requirement: able to move throughout office environments, including walking between departments, attending in-person meetings, and perform tasks that require mobility within and around the workplace.
Monthly on-site visits to a department located in a different facility within the organization (Capital Region area)
Responsibilities
Monitor and resolve claims work queues (Front End, Referrals & Authorizations, Clinical Workflow).
Track Trinity Health Front End metrics and collaborate with Practice Management to identify educational opportunities.
Review denial/rejection and write‑off dashboards for trends; provide education to providers/front‑end users.
Ensure referral documentation is obtained and documented to secure appropriate revenue.
Run monthly reports to identify outbound referrals and communicate opportunities to management.
Process all billable services within the EMR promptly and submit to insurances as "Clean Claims".
Review all charges and submit to claims scrubber; work all scrubber edits in a timely fashion.
Identify problematic charges for further review to correct coding/billing issues.
Adhere to productivity/quality guidelines and communicate effectively with other departments.
Collaborate with Revenue Cycle Manager on needed feedback for practice locations.
Process inpatient charges submitted by providers via interface tool or manual sheets; enter charges and complete charge reconciliation daily.
Report outstanding claims to ensure timely billing; review each claim for appropriate information.
Identify and review high dollar outstanding balances; ensure financial assistance options are offered to patients.
Provide necessary feedback from operational departments to Revenue Integrity team.
Act as a Superuser for the site and answer patient questions.
Maintain patient confidentiality and adhere to HIPAA regulations.
Daily TOS reconciliation with front‑end.
Qualifications
High school diploma or equivalency required; Associate’s degree preferred.
Effective written and verbal communication skills.
3+ years’ experience in a physician practice or billing office.
Demonstrated attention to detail, organization, and effective time management.
Ability to work independently with little supervision.
Knowledge of CPC, CPT, CPT II, and ICD-10.
Knowledge of insurance carriers.
Solid judgment to appropriately elevate issues.
Advanced knowledge of Microsoft Office and general office machines.
Ability to lift 20 lbs.
Experience with coding and EPIC knowledge is a plus.
Pay Range $18.50–$24.66 per hour. Pay is based on experience, skills, and education.
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.
#J-18808-Ljbffr