Medical Billing Specialist

Medical Billing Analyst – Cardiology Associates of Schenectady - Niskayuna, NY - Full TimeThis position is located at 2546 Balltown Road, Niskayuna, NY.Monday-Friday 7:30 AM - 4:00PMIf you are looking for a Billing Analyst position in a busy Cardiology Office in Niskayuna, Full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. 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 developmentWhat you will do:Responsible to monitor and resolve Claims Workqueues; 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 opportunitiesEnsures 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 scrubberWork all claims scrubber edits in a timely basisIdentify any problematic charges for further review to correct coding/billing issuesAdhere to productivity/quality guidelinesCommunicate effectively and professionally with other departments within the organizationWork with Revenue Cycle Manager to identify needed feedback to practice locations.Process inpatient charges submitted by providers via interface tool or manual sheetsManually enter charges as assigned and complete charge reconciliation daily.Report any outstanding claims to contact to ensure all claims are billed timelyReview 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 appropriateAct 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 reonciliation with front endWork cooperatively with all team members to ensure quality service at all times.May be responsible for multiple Providers or Departments.Travel will be required as assigned by operational leader.Perform other duties as assigned.What you will need:High school diploma or equivalency required; Associates degree preferred.Effective written and verbal communication skills3+ years' experience in a physician practice or billing officeDemonstrated attention to detail, organization & effective time managementAbility to work independently with little supervisionKnowledge of CPCKnowledge of CPT, CPTII, and ICD10Knowledge of insurance carriersSolid judgment to escalate issues appropriatelyAdvanced knowledge of Microsoft Office, related computer programs & general office machinesPay 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 CommitmentRooted 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.