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, and 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 Revenue Cycle Analyst.

In this role, the successful candidate as the Revenue Cycle Analyst Insurance Clearance will be responsible for analyzing data related to insurance clearance work queues, denials, and patient estimates, and collaborating with cross-functional departments. This role involves conducting audits, managing workflows for insurance clearance and estimates, and providing performance metrics related to insurance clearance activities to the Director. The ideal candidate will support and demonstrate the philosophy/mission of NYU Langone Health-system in performing their duties and representing the organization.

Job Responsibilities:

Data Analysis and Reporting:

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, ensuring well-organized, well-documented, and consistently maintained.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.Execute data mining and in-depth insurance clearance WQ analysis, maintaining data integrity throughout.

Insurance Clearance KPI Management:

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.

Collaboration and Communication:

Work closely with Revenue Cycle Operations (RCO) management and various departments to identify issues, trends, and opportunities for improvement.Serve as a liaison with internal departments, external business partners, and contracted payers to improve revenue cycle operations.Coordinate audit activities and ensure timely submission of deliverables, including analyses and summaries for meetings.Support ongoing staff education to enhance customer service skills, emphasizing a patient-centric approach.

Compliance and Continuous Improvement:

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.

General Responsibilities:

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 Bachelor of Science and a minimum of one year of relevant experience is required. High level of analytical skills and dynamic communication skills (verbal and written) are required. Proficiency in Microsoft Excel and Word and other tools.

Preferred Qualifications:
Two to three years of experience preferred. Experience using Epic computer software. Familiarity with medical terminology and hospital medical billing guidelines, and advanced knowledge of Excel and Tableau

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 https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.

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 $67,771.14 - $78,269.44 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