Revenue Cycle Analyst

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

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Position Summary:
We have an exciting opportunity to join our team as a Revenue Cycle Analyst.

In this role, the successful candidate as the Analyst will be responsible for collecting, analyzing, and reporting on data using various systematic tools to translate data into accessible and actionable elements for operations. This role involves ongoing analysis of healthcare information from a variety of sources, including patient finances and demographic data. The Analyst will develop and prepare information materials for staff and management, identify trends, determine root causes, and implement strategies for process improvement. Collaboration with cross-functional departments and teams is essential.

Job Responsibilities:

• Perform detailed analysis of payer reimbursement to determine underpayment trends and prepare detailed spreadsheets.
• Track and maintain third-party payor spreadsheets to ensure resolution of accounts and keep senior analysts informed of progress.
• Resolve credit balances by reviewing accounts thoroughly and following hospital policy to refund or adjust accordingly.
• Perform detailed analysis of payment inconsistencies to identify variances resulting from contract management load issues.
• Coordinate audit activities to ensure timely submission of clear, organized deliverables for meetings, including analyses and summaries.
• Assist the department in evaluating and escalating eligibility, authorization, billing, and claims processing inaccuracies to develop upstream solutions.
• Train other analysts as needed.
• Perform complex data analysis using tools like Tableau and Excel to create detailed, sophisticated reports.
• Develop and maintain programs, methodologies, and files for analyzing and presenting data.
• Maintain databases and conduct strategic analysis for monthly, quarterly, annual, and ad-hoc requests.
• Develop and maintain hospital reporting, including daily reports, dashboards, and other ad hoc requests.
• Monitor and report on Key Performance Indicator (KPI) goals for Revenue Cycle Operations (RCO) Insurance Clearance (IC) teams.
• Identify trends and patterns through the analysis of IP and OP denial data related to eligibility and benefits information, medical necessity, and coordination of benefits.
• Collaborate with multidisciplinary teams to reduce future denials and patient estimate disputes and explore other revenue opportunities.
• Collect and analyze data related to IC Work queues, focusing on aging days in queues and days scheduled to date of service.
• Track and report on Self-Pay Combined estimate compliance, estimate accuracy rates, and analyze data related to estimate queries.
• Analyze workflows and data to provide analytical support to the management team, ensuring timely and accurate insurance verification and optimal customer service.
• Serve as a liaison with internal departments, external business partners, and contracted payers to improve revenue cycle operations.
• Ensure compliance with all relevant policies, including 100% compliance with HIPAA requirements and other hospital-mandated activities.
• Stay current on industry trends and best practices related to revenue cycle operations.
• Proactively work to implement operational best practices and solutions to address issues related to eligibility, authorization, estimate, billing, and claims processing.
• Work independently, take initiative, and think critically to solve complex problems.
• Perform other duties as assigned by management to support departmental goals.

Minimum Qualifications:
To qualify you must have a Bachelors Degree required.
2 years of experience required.
Proficiency in Microsoft Office products required.
Dynamic communication skills (verbal and written) required.
Analytical skills required.

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.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $70,481.60 - $100,000.00 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