Patient Access Data Integrity Analyst - St. Peters Hospital, Albany NY - FT Days

$42,016 - $60,944/Yr

NY_SPHP01 St. Peter's Hospital - Albany, NY

Full-time - Entry Level

Albany, NY

10,001+ employees

About the position

The Patient Access Data Integrity Analyst at St. Peter's Hospital is responsible for ensuring accurate registration and billing processes by analyzing and correcting claims edits before they are submitted to third-party payers. This role involves collaboration with various departments to resolve issues, maintain compliance with payer guidelines, and enhance the overall efficiency of the billing cycle.

Responsibilities

• Provide support for registration related billing claims edits to submit clean claims to third-party payers.
• Analyze and work on reports/edits to correct demographic, insurance, provider, and charge information as required.
• Collaborate with various departments to reconcile and correct held claims for resubmission.
• Ensure claims are submitted in the proper format as defined by payer contracts.
• Verify insurance information through various methods including systems and phone calls.
• Resolve problems by researching issues and implementing solutions or escalating unresolved accounts to the Manager.
• Maintain knowledge of current reimbursement trends and developments in hospital registration and billing.
• Identify registration edit issues and communicate trends to the Manager.
• Participate in department meetings and training seminars as assigned.
• Maintain access to and security of sensitive materials, promoting confidentiality.

Requirements

• High school graduate; college degree preferred.
• Minimum of three years of previous patient registration/insurance verification experience in a healthcare environment.
• Previous coding and edit/billing experience strongly preferred.
• General revenue cycle experience is preferred.
• Familiarity with EPIC Patient Access work queues.
• Up-to-date knowledge of third-party rules and regulations.
• NAHAM CHAA certification and/or HFMA CRCR certification within one year of hire.
• Proficient in Microsoft Office software.
• Strong analytic and problem-solving abilities with attention to detail.
• Well-developed interpersonal, written, verbal, and presentation communication skills.

Nice-to-haves

• Experience in a collaborative, shared leadership environment.
• Ability to thrive in a fast-paced, multi-customer environment.

Benefits

• Competitive pay range based on experience, skills, and education.
• Opportunities for professional development and training.
• Diversity and inclusion initiatives within the workplace.