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The Senior Revenue Cycle Analyst analyzes performance metrics and optimizes front-end workflows for medical group practice locations. They lead revenue-targeted projects, manage claim edit work queues, and provide education to staff and providers to improve overall revenue cycle performance.
An associate degree and medical office experience are required for this role. Preferred qualifications include medical coding experience, a coding certificate, and proficiency with electronic practice management systems.
This position is located at 319 S. Manning Blvd, Albany, NY.
8:00AM-4:30PM
The Sr. Revenue Cycle Analyst analyzes performance metrics and provides consultation, and direction to enhance front-end and site workflows. Leads projects for practice/clinic locations with focus on ongoing support and continuous improvement. Makes routine site visits, conference calls, and regularly communicates with assigned practices/clinics. The Sr. 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
Supports directly assigned sites with daily revenue cycle priorities
Collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing weekly metrics, assessing root cause analysis, and developing/implementing action plans.
Reviews front-end denials (eligibility, registration) for each area and provides feedback to Directors, Practice Managers and Supervisors. Provides trended metrics to help identify areas that are performing well and areas that need further development/review.
Oversees, assists, and manages Registration Charge Review and Claim Edit work queues.
Develops and conducts general or specialized educational sessions for colleagues or providers.
Communicates with manager to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.
Participates and leads Revenue targeted projects and addresses opportunities and barriers as they arise.
Provides regular project status updates to departments and leadership especially when there are delays or challenges.
Attends additional training, performs research, e-learning to stay current on best practices and new practice management technology and functionality as it becomes available.
Communicates and educates site staff regarding upgrades or workflow changes relating to revenue cycle.
Review and update billing playbook quarterly.
Communicates effectively with colleagues to ensure coordinated efforts between Revenue Integrity, PBS and offices.
Acts as a primary contact for assigned site or colleagues for questions and assistance.
Maintains knowledge of practice management system, office responsibilities and billing process.
Maintains knowledge of and supports revenue metrics and procedures.
Researches and stays current on managed care/insurance updates.
Maintains administration access to sites and assigns access as needed.
Assists with special projects as needed and performs other duties as assigned.
Responsible for new hire training.
Other duties as assigned.
Pay Range: $21.20 - $29.70
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.
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.
St. Peter’s serves in the spirit of the gospel as a compassionate and transforming healing presence in our communities.
With more than 11,000 employees in more than 185 locations, St. Peter’s Health Partners is the Capital Region’s largest and most comprehensive not-for-profit integrated health care network, which provides high-quality, compassionate, and sophisticated care to thousands of people every day. St. Peter’s Health Partners is a member of Trinity Health. For more information, please visit www.SPHP.com.
Offices: 315 South Manning Blvd, Albany, NY 12208, US
