We have an exciting opportunity to join our team as an Operational Analyst.
Reporting to the Manager, Professional Billing Operations the Analyst will be responsible for coordinating quality assurance procedures, monitoring revenue cycle function performance and the Analyst will develop project plans, gather / analyze data, monitor billing metrics, address system / error work queues and facilitate meetings working closely with vendors, Central Billing Office leadership (CBO and medical center IT teams.
The ideal candidate has a comprehensive understanding of professional billing revenue cycle workflows, possess strong project management skills and is capable of timely change management and excellent oral and written communication as a part of the revenue cycle team.
Job Responsibilities :
- Perform other duties as needed.
- Review and understand workflows and standard operating procedures related to revenue cycle functions including (but not limited to) authorizations, coding, correspondence, claims, accounts receivable, and credits.
- Perform audits on work related to standard operating procedures for key revenue cycle functions.
- Track and report employee performance to established standards.
- Prepare other analytical reports to identify opportunities for revenue enhancement and predictive analytics.
- Perform analysis to identify problems with denials, coding, reimbursement, and other aspects of the revenue cycle and implement changes in conjunction with leadership.
- Reviews and benchmarks results to industry standards and both internal and external teams. Document current workflows, system processes, and maintain project plans, trackers and change control documentation.
- Ensure that the activities of employees are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
- Collaborate with CBO, FGP, vendors and internal IT teams to facilitate process improvement.
- Actively participate in team meetings and workflow development sessions.
- Assist with special projects.
Minimum Qualifications :
To qualify you must have an associate's degree or equivalent experience. 2 - 4 years of relevant experience are required.
Knowledge of practice management and revenue cycle.
Strong conceptual and analytical abilities with the ability to identify issues and opportunities and be able to solve problems.
Strong verbal and written communication skills as well as excellent listening skills.
Ability to conceptualize workflow, develop plans and implement appropriate actions.
Ability to multi-task and coordinate competing priorities.
Professional demeanor.
Light, accurate keyboarding skills required. Candidates must receive a score of 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to knowledge of Excel required.
Candidates are required to pass the Excel skills assessment prior to onboarding
Preferred Qualifications :
Experience with healthcare finance, operations, medical reimbursement and managed care contracts preferred.
NYU Langone Florida is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment.