Revenue Cycle Analyst – Urology Team – Clifton Park jobs in United States
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Trinity Health · 7 hours ago

Revenue Cycle Analyst – Urology Team – Clifton Park

Trinity Health is dedicated to providing compassionate care and is seeking a Revenue Cycle Analyst for their Urology Team. This role involves supporting urology practice operations, analyzing reports, and collaborating across teams to ensure efficient workflows and revenue management.

DeliveryHealth Care

Responsibilities

Responsible to monitor and resolve Claims Work queues, 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 opportunities
Ensures 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 scrubber
Work all claims scrubber edits in a timely basis
Identify any problematic charges for further review to correct coding/billing issues
Adhere to productivity/quality guidelines
Communicate effectively and professionally with other departments within the organization
Work with Revenue Cycle Manager to identify needed feedback to practice locations
Process inpatient charges submitted by providers via interface tool or manual sheets
Manually enter charges as assigned and complete charge reconciliation daily
Report any outstanding claims to contact to ensure all claims are billed timely
Review 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 appropriate
Act 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 reconciliation with front end

Qualification

Medical office experienceInsurance processes knowledgeReport analytics skillsCPC knowledgeCPTCPTIIICD10 knowledgeMicrosoft Office proficiencyProfessional demeanorCommunication skillsAttention to detailTime management

Required

Medical office experience required
Strong understanding of insurance processes
Report analytics skills
self-motivated, enthusiastic, and professional demeanor
Excellent communication and presentation skills
High school diploma or equivalency required
Effective written and verbal communication skills
3+ years' experience in a physician practice or billing office
Demonstrated attention to detail, organization & effective time management
Ability to work independently with little supervision
Knowledge of CPC
Knowledge of CPT, CPTII, and ICD10
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

Preferred

Associates degree preferred
Medical coding experience preferred but not required

Company

Trinity Health

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Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation.

Funding

Current Stage
Late Stage
Total Funding
$0.02M
Key Investors
Centers for Disease Control and Prevention
2025-10-17Grant· $0.02M

Leadership Team

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Dan Drake
Trinity Health PACE President and CEO
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Eileen Coogan
Pres/CEO Allegany Franciscan Ministries
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Company data provided by crunchbase