Position Summary The Senior Revenue Cycle Analyst for Patient Financial Services will provide analytical and systems support, within the hospital's Business Office. The Senior Analyst will act as a lead in developing and generating all data analytics pertaining to revenue cycle activities and key performance indicators (KPIs). This position will work closely with subject matter experts in their assigned area to support day to day business functions, performance improvement initiatives, reconciliation, benchmarking and reporting. Candidates will possess a high degree of both technical and analytical aptitude with a history or background which demonstrates an ability to: 1) summarize, analyze and report business data; 2) adopt and master software tools/platforms; 3) effectively communicate (written & verbal) business process, objectives and trends; 4) lead projects to enhance all aspects of revenue cycle operations; 5) think critically and resolve complex issues. Duties of a Senior Revenue Cycle Analyst may include the following, but are not limited to:
- Extracts, collates, and refines data from multiple sources to manipulate into reporting sets using Excel, SQL, BI tools, Tableau and other reporting tools.
- Create various reports to evaluate accounts receivables. Prepares and standardize monthly reports, to assist with monitoring of Revenue Cycle Metrics.
- Develop new report templates for detailed ad-hoc inquiries.
- Analyze data trends to determine the root cause and conduct deep dive sampling. Perform denials analysis to identify solutions and reduce controllable rejections.
- Provides a detailed assessment of revenue cycle processes with a focus on process improvement and best practices.
- Prepare dashboards to identify trends and gaps and ensure a holistic view of the revenue cycle. Perform extensive evaluation using multiple methodologies
- Monitor and track ongoing performance through key performance indicators (KPI) in comparison to industry benchmarks.
- Present data analysis for departmental leadership in organized format to clearly convey trends and identify key areas for revenue optimization. Highlight corrective solutions to minimize delays and denials to advance performance and achieve targets.
- Support data collection for audit and discovery.
- Cultivates effective collaborative relationships with departmental teams to seek resolution of issues identified through monthly monitoring of KOIs / KPIs.
- Works closely with Department management to facilitate root issue remediation. Collaborates closely with peers to develop, validate, and maintain meaningful report sets.
- Recommends and implements best practices within the departments.
- Stay abreast of group payer contracts, payer policies, payer plans, and member benefits.
- Carries out duties in compliance with all federal and managed care and clinical research billing guidelines. Keeps apprised of rules and regulations affecting reimbursement.
- Prioritizes requests and implements timely escalation to the appropriate teams for resolution and corrective actions.
- Perform other special projects and duties as needed or assigned.
Qualifications Required:
- Bachelor's degree in Accounting, Finance, Health Information Management, Health Administration, Computer Science or related field and a minimum of 3 years' experience in an analytics, decision support or information technology role preferably in a Healthcare or Healthcare Revenue Cycle setting.
- Proficiency in MS Office Suite including; Excel, Word, Access, Visio, PowerPoint.
- Knowledge and proficiency of SQL or Database reporting queries.
- Experience in an Acute Care Hospital / Health System Revenue Cycle, Accounting, Finance, Information Technology or Decision Support role.
- Knowledge of Invision Patient Accounting, RPM, Contract Management and/or Claims Scrubber Software.
- Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
- Proficiency with visualization software (Tableau, MS Power BI, etc.)
- Excellent written and verbal communication skills.
Preferred:
- Master's degree in Accounting, Finance, Health Information Management, Health Administration, Computer Science or related field.
- Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies.
- Knowledge of third party payer reimbursement methodologies and contracts.
- Knowledge of CPT, HCPCs and ICD-10 coding principles.
- Proficiency with SAP Business Objects/Crystal Reports.
Special Notes:Resume/CV should be included with the online application. Posting Overview:This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
- Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
- All Hospital positions maybe subject to changes in pass days and shifts as necessary.
- This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
- This function/position maybe designated as essential. This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
- Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
- Complete electronic reference check with a minimum of three (3) professional references.
- Successfully complete a 4 panel drug screen*
- Meet Regulatory Requirements for pre employment screenings.
- Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The hiring department will be responsible for any fee incurred for examination.Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)###-####. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewedhere. Visit ourWHY WORK HERE page to learn about the total rewards we offer.Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as - $75,000 - $87,000 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all UUP positions have an additional $3,087 for location, Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.