GI RN Fulltime Days

NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org , a nd interact with us on LinkedIn , Glassdoor , Indeed , __ Facebook , Twitter , YouTube and Instagram .

Position Summary:
We have an exciting opportunity to join our team as a Faculty Group Practice Reimbursement Analyst.

In this role, the successful candidate t will be responsible for reviewing physician utilization and payment data related to managed care reimbursement. This role is responsible for creating and analyzing contract compliance reports to measure and identify revenue opportunities from commercial payers to complement the Faculty Group Practice revenue cycle operations. The incumbent will work independently with minimal supervision analyzing payer reimbursement to identify trends and payments inconsistent with contractual rates and terms. The analyst will also present and communicate their findings to Management for internal and external escalation. The candidate for this role will work collaboratively with Revenue Cycle and FGP Operations to share the findings of their analysis and contribute as needed to assist in the development of tools and educational materials for FGP front end staff. The position requires a fundamental understanding of professional billing, industry standard reimbursement methodologies as well as the ability to interpret and understand managed care contracts.

Job Responsibilities:

* Perform audits to identify and recover underpayments caused by contract misinterpretation and invalid denials in order to maximize reimbursement, efficiently lower A/R, and expedite the revenue cycle process. * Other duties as assigned. * Function with minimal supervision, request feedback appropriately, and initiate inquiries to gain additional understanding. * Work independently, take initiative, and think critically. * Learn appropriate new software systems to help analyze and evaluate claims data. * Work collaboratively with a variety of departments within NYU School of Medicine and externally with commercial managed care payers. * Assist with providing constructive feedback and developing training tools. * Evaluate and escalate eligibility, authorization, billing, and claims processing inaccuracies to the appropriate CBO and FGP Operations Management in order to implement upstream resolution and re-education. * Develop a comprehensive understanding of all managed care contractual terms and reimbursement methodologies between NYU School of Medicine and external commercial payers. * Maintain data integrity when manipulating data files for purposes of analysis to ensure data does not become corrupted through conscientious use of tools and a system of checks and balances. * Execute data mining and in-depth analysis to support managed care contracting initiatives. * Collect and analyze data to determine denial and underpayment trends across the Faculty Group Practice for review and distribution to leadership.

Minimum Qualifications:
To qualify you must have a Bachelor's degree in business or healthcare administration or related field plus a minimum of two years of experience; or an equivalent combination of education or relevant work experience. High level of analytical skills and dynamic communication skills (verbal and written) are required. Microsoft Excel and Word familiarity required.

Preferred Qualifications:
Ideal candidate will have previous experience in a healthcare finance or billing role. Skilled in data extraction, manipulation and analysis is preferred.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit for more information.

NYU Langone Health provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58,500.00 - $77,420.98 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here

Required Skills

Required Experience

Qualifications:
QUALIFICATIONS:

• Must be at least 18 years of age.
• Must be physically capable of performing personal care tasks.
• Must be able to understand and carry out directions or instructions, record notes, and keep records.
• Reliable transportation
• Must not have a criminal conviction which bars employment.
• Must have no adverse record or be listed in the Nurse Aide Registry or Employee Misconduct Registry.

Please contact us by phone at View phone number on click.appcast.io for any questions. To apply in person please visit us at 3307 NORTHLAND DRIVE, AUSTIN TX 78731.