Associate Revenue Management Analyst-Process Improvement

NYU Langone Health is seeking an Associate Revenue Management Analyst-Process Improvement to support its Revenue Management Department. The role analyzes reimbursement and identifies, quantifies, and executes projects that improve process efficiency, charge capture, and net revenue opportunities.

Responsibilities

• Maintains and updates the monthly workload tracking document
• Performs and participates in other related duties as required
• Provides knowledge transfer and support to RMD staff
• Performs data collection, tracking and analytical duties to respond to key issues, increase/track reimbursement opportunities and process efficiency and in support of the decision making process of leadership from multidisciplinary perspectives
• Assist in identifying trends for process improvement projects with departments with the purpose of increasing overall net revenue and charge capture rates, and securing optimal efficiency
• Works collaboratively with Auditors and department management/administration to understand services provided to explore and capitalize on opportunities for increased reimbursement
• Based on charge audit trends, identifies administrative errors, inaccurate service code assignment, and discrepancies in interpretation of charging and/or reimbursement methodologies
• Data mines from hospital information systems, and runs reports as requested to find opportunities for revenue generation

Preferred

• Strong knowledge of NYULMC IT systems such i.e. Epic and EPSi
• Knowledge of EPIC enterprise system
• NYULMC IT Systems
• Epic
• EPSi
• Enterprise Systems

Benefits

• Financial security benefits
• A generous time-off program
• Employee resources groups for peer support
• A holistic employee wellness program focused on physical, mental, nutritional, sleep, social, financial, and preventive care

Company

• Integrated academic health system for patient care, education, and research
• New York, New York, USA
• https://nyulangone.org/
• Founded in 1841
• 10001+ employees

Qualifications

• a Bachelor's degree in Economics/Statistics, Finance, Business Management, Finance, Healthcare administration or a related field or equivalent combination of education and experience
• Three of related health care administration/financial or revenue cycle analysis experience
• Experience in financial analysis, budgeting, business and process analysis, working knowledge of third party reimbursement
• Comprehensive understanding of audit and reimbursement systems, managed care contracts, rate structures, billing and collection processes and procedures, utilization review, health care information systems, outpatient revenue, home health, and other related health care topics
• Strong analytical skills and excellent communication skills
• Knowledge of managed care terminologies and ability to interpret hospital bills, explanation of benefits, and medical records
• Strong computer and systems application skills
• Experience in MS Access, Excel and Word
• Qualified candidates must be able to effectively communicate with all levels of the organization
• A Bachelor's degree in Economics/Statistics, Finance, Business Management, Finance, Healthcare administration or a related field or equivalent combination of education and experience
• Strong knowledge of NYULMC IT systems such i.e. Epic and EPSi
• Knowledge of EPIC enterprise system

Required skills

• Billing and Collections, Budgeting, Business Analysis, EPSi, Epic, Financial Analysis, Managed Care Contracts, Microsoft Access, Process Analysis, Rate Structures, Third-Party Reimbursement, Utilization Review

Preferred skills

• Knowledge of EPIC enterprise system

Experience

• 3+ years