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Contract Compliance and Reimbursement (CCR) Associate Analyst-Out Patient Billin

Company: NYU Langone Health
Location: New York
Posted on: October 14, 2021

Job Description:

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. For more information, go to nyulangone.org, and interact with us on LinkedInGlassdoorIndeed, FacebookTwitterYouTube and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a Contract Compliance and Reimbursement (CCR) Associate Analyst-Out Patient Billing.

In this role, the successful candidate We have an exciting opportunity to join our team as a Contract Compliance and Reimbursement (CCR) Associate Analyst-Out Patient Billing. To qualify you must have a Bachelor's degree, two years of working experience, and familiarity with Microsoft Office Products, as well as have demonstrated critical thinking and technical analysis skills.

Job Responsibilities:

  • Perform audits to identify and recover underpayments caused by contract misinterpretation and invalid denials in order to maximize reimbursement, efficiently lower A/R, and speed up the revenue cycle;
  • Collect/analyze payer data to determine denial, underpayment, and overpayment trends for further review;
  • Execute data mining and in-depth accounts receivable analysis;
  • Maintain data integrity when manipulating data files for purposes of analysis to ensure data does not become corrupted through conscientious use of tools and a system of checks and balances.
  • Coordinate audit activities to ensure timely submission of clear, organized deliverables for meetings including analyses, summaries, etc
  • Evaluate and escalate eligibility, authorization, billing, and claims processing inaccuracies to implement upstream solutions;
  • Assist with providing constructive feedback and developing training tools;
  • Ensure cash optimization and accounts receivable reduction activity is functioning to fullest capability;
  • Work collaboratively with a variety of departments within NYULMC and NYULMCs contracted payers;
  • Work independently, take initiative, and think critically;
  • Function without supervision, request feedback appropriately, and initiate inquiries to gain additional understanding;
  • Adhere to compliance and departmental policies and procedures including compliance with 100% of HIPAA requirements, required trainings, and other Hospital mandated activities;
  • Perform other duties as assigned;

Minimum Qualifications:
To qualify you must have a Bachelor's degree in business administration or healthcare administration or related field plus a minimum of two years of experience in healthcare or related field are required. High level of analytical skills and dynamic communication skills (verbal and written) are required. Microsoft Excel and Word familiarity required.

Preferred Qualifications:
Ideal candidate will have previous experience in hospital finance. Skilled in data extraction, manipulation and analysis is preferred. Microsoft Products proficiency is a plus.

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. To view the Pay Transparency Notice, please click here.

Keywords: NYU Langone Health, New York , Contract Compliance and Reimbursement (CCR) Associate Analyst-Out Patient Billin, Other , New York, New York

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