Associate Analyst

Job Title: Associate Analyst

Location: System Business Office

Department Name: Patient Accounts

Req #: 0000248217

Status: Salaried

Shift: Day

Pay Range: $49,177.00 - $65,183.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

The Associate Analyst Account Representative is responsible for supporting the hospital's revenue cycle operations by analyzing account data, monitoring claim status, assisting in the resolution of outstanding accounts receivable (A/R), and contributing to process improvements. This hybrid role combines traditional patient account responsibilities (billing, follow-up, and collections) with analytical duties, such as generating reports, identifying trends, and supporting denial resolution efforts. The role ensures timely reimbursement from payers while promoting accuracy, compliance, and patient satisfaction. The Associate Analyst is also responsible for overseeing and expediting the accurate and timely processing of data into our workflow. Additionally, the Associate Analyst will provide analytic tools to support more accurate and timely filing of claims and retrieval of revenue.

Qualifications:

Required:

• The ideal candidate will have a working knowledge of commercial insurance, Medicare, and Medicaid reimbursement principles.
• Strong working knowledge and experience of Commercial insurance regulations regarding reimbursement process.
• Strong reporting skills required.
• Strong Excel knowledge.

Preferred:

• 5 years of experience in an acute care hospital finance department or consulting background.
• Prior exposure to analytical tasks such as reporting or data validation is a plus.
• Experience with hospital billing systems (Epic, Cerner, Meditech) and Microsoft Excel strongly preferred.
• PRE-HCAPPA knowledge & HCAPPA knowledge is preferred (Health Claims Authorization, Processing, & Payment Act).

Scheduling Requirements:

• Full-Time, Salaried position- 37.5 hours a week
• Remote opportunity - must reside in NJ/NY/PA.

Essential Functions:

• Check the accuracy of data utilizing Excel
• Provides timeliness and efficiency in reporting of data sets
• Exercise consistent judgment in handling of sensitive and confidential information
• Generating client reporting tools
• Detailed understanding of claims processing
• Experience identifying potential problems and using technology to solve problems

Account Management:

• Review and manage assigned patient accounts to ensure timely and accurate resolution.
• Conduct follow-up with insurance carriers and patients to resolve unpaid or denied claims.
• Verify account status and escalate issues that require intervention or management review.

Data and Reporting Analysis:

• Compile, organize, and analyze data related to accounts receivable, denials, and reimbursement.
• Prepare and maintain spreadsheets, dashboards, and routine reports for management review.
• Assist in trend identification related to payer performance, denial categories, and aging balances.

Billing and Claims Support:

• Support accurate submission of insurance claims and resubmissions as needed.
• Review explanation of benefits (EOBs), remittance advice (ERA), and adjust accounts as appropriate.
• Ensure billing activities comply with payer guidelines and government regulations.

Denial and Reimbursement Review:

• Assist with researching denied or underpaid claims and help initiate appeals.
• Document actions and resolutions in the patient accounting system clearly and timely.
• Track and analyze recurring denial reasons to support process improvements.

Customer and Departmental Support:

• Respond to patient and internal inquiries related to billing, insurance, and account balances.
• Collaborate with internal departments, registration, coding, HIM, clinical teams) to resolve discrepancies and gather documentation.
• Escalate sensitive issues or patterns to senior analysts or supervisors.

System Maintenance and Process Improvement:

• Support data integrity in the hospital billing system by identifying and correcting errors.
• Participate in user testing or feedback sessions for software upgrades or process changes.
• Recommend improvements to workflows or tools to increase efficiency and accuracy.

Performance Metrics:

• Timeliness and accuracy of account resolutions.
• Reduction in account aging and denial rates.
• Quality of reports and analysis provided.
• Responsiveness to internal and external inquiries.
• Adherence to compliance and documentation standards.

Other Key Functions:

• Basic understanding of healthcare revenue cycle functions including billing, coding, and collections.
• Strong organizational and analytical skills with attention to detail.
• Proficiency in Microsoft Office Suite, especially Excel (pivot tables, filters, basic formulas).
• Ability to communicate clearly and professionally with patients, coworkers, and external partners.
• Strong problem-solving and time-management abilities in a deadline-driven environment.
• Knowledge of HIPAA and patient confidentiality practices.
• Maintains positive relationships with all customers, employee, physician, patient, visitor, and guests.
• Utilizes a variety of feedback to improve processes and services to meet and exceed customer needs.
• Uses sound employee relations practices and maintains high levels of visibility and accessibility.
• Follows through on all customer requests and inquiries in a timely fashion.
• Utilizes principles of CQI in all work situations.
• Seeks feedback and recommendations from others to improve the quality, processes and services.
• Contributes to improving quality services and productivity (takes the initiative to continually evaluate one's work, report problems, suggest solutions and try new ideas).
• Effectively allocates and schedules resources.
• Able to project and appropriately staff the unit/department to effectively function to demand.
• Utilizes resources, both labor and non-labor to maximize efficiency and quality.
• Adheres to budgetary guidelines and targets-proactively manages budget variances and causes.
• Determines priorities and organizes work and time to meet them.
• Follows sound employee retention techniques; effective selection and interviewing, recognition, fair and timely discipline, and ongoing performance feedback.
• Interacts constructively, tactfully and diplomatically with others and resolves conflicts effectively.
• Demonstrates cultural competency and ability to maintain a diverse workforce.
• Completes tasks and assignments in a timely, accurate and efficient manner.
• Remains positive and focused despite obstacles and setbacks.
• Demonstrates a sense of urgency in completing assignments.
• Organizes multiple assignments and/or projects simultaneously to accomplish goals.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer