Grants Revenue Cycle Analyst

St. Joseph’s Hospital, Yonkers (St. Vincent’s Westchester Division - Harrison Campus)

Grants Revenue Cycle Analyst

· Position reports to Director of Opioid Revenue Cycle Management and is responsible for various aspects related to behavioral health/opioid treatment billing including, but not limited to, eligibility verification, claims analysis of 837i files, and remittance management of Medicaid FFS/Managed Care & Medicare Part B EOB’s. Also, candidate will be responsible for denial management and resubmission of corrected claims to designated insurance payers.

· Additionally, position will be responsible for update/maintenance of clinical EHR system ensuring accurate patient data such as patient demographics, current guarantor/eligibility, client ledger, etc., and additional patient related data are routinely updated in EHR system to ensure data integrity and compliance.

· Reporting requirements include management of payer remittances and remittance data, weekly reporting of clinical services and patient volumes for clinic/management review, data management of EHR system generated reports, and various ad hoc reporting projects as assigned.

· Successful candidate should be detail-oriented and knowledgeable of medical terminology and billing, preferably in behavioral health/opioid treatment programs. Ultimately, an outstanding patient account representative should demonstrate exceptional communication, organizational, and problem solving skills in an effort to achieve individual tasks and departmental objectives.

· Required qualifications include a Bachelor’s degree and 1-3 years of patient accounts/RCM management. Preferable experience in the field of behavioral health/OTP claims management, knowledge of CPT/ICD-10 coding, claim submissions/resubmission/analysis, and EHR maintenance. Proficiency in Microsoft Word, Outlook, and Excel also required for position.

· Salary Range: $70k based on position related qualifications and experience.