Position Summary:
We have an exciting opportunity to join our team as a Associate Operational Analyst.
Reporting to the Manager, Professional Billing Operations the Associate Operational Analyst will be responsible for coordinating quality assurance procedures and providing findings to stakeholders, vendors and Central Billing Office leadership (CBO and medical center IT teams.)
The ideal candidate has a comprehensive understanding of professional billing revenue cycle workflows, strong conceptual abilities with proficiency for attention to detail and takes initiative to identify issues, opportunities, and solutions. The specialist should have excellent oral and written communication. The specialist will be responsible for auditing and monitoring user performance as well as proposing preventative measures to correct and improve business processes in order to meet established NYU quality standards as part of the revenue cycle team.
Job Responsibilities:
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Review and understand workflows and standard operating procedures related to revenue cycle functions including (but not limited to) authorizations, coding, correspondence, claims, accounts receivable, and credits.
- Compare benchmarks results to NYU standards for both internal and external teams.
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Perform audits on work related to standard operating procedures for key revenue cycle functions.
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Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures as part of workflow quality reviews.
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Adhere to general practices and FGP guidelines on compliance issues and patient confidentiality
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Track and report employee performance to established standards.
- Ensure that the activities of employees are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
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Actively participate in team meetings and workflow development sessions.
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Assist with special projects.
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Other duties as assigned.
Minimum Qualifications:
To qualify you must have a Associates Degree and 1-3 years in a billing office or healthcare setting with prior experience of healthcare finance, operations, medical reimbursement and managed care contracts preferred. Knowledge of practice management and revenue cycle.
