Revenue Cycle/Operations Specialist

2 weeks ago

Brooklyn, United States NYC Health + Hospitals Full time

About NYC Health + Hospitals:


Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages.


At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.


Job Description:

Shift: Tour 2: 9 A.M. - 5 P.M.


Purpose:

Monitor ongoing performance of Revenue Cycle results through the use of key operating indicators (KOI). Use data to identify trends and gaps. Uses dashboards and reports to monitor key performance indicators of revenue cycle workflows and to ensure a holistic view of the revenue cycle. The Revenue Cycle Analyst provides analytic support, problem-solving, and communication with clinic departments on all matters pertaining to revenue cycle needs and key operating indicators (KOIs). Provides a detailed assessment of revenue cycle processes with a focus on process improvement and best practices.


Specific Duties and Responsibilities:

• Champions revenue cycle optimization initiatives across South Brooklyn Health to improve processes and support revenue cycle performance.

• Need a thorough understanding of systems, ambulatory care coding and billing guidelines to proactively identify opportunities for revenue cycle improvement and work with clinical departments to institute changes.

• Assists in developing strategies to improve overall revenue performance

• Applies knowledge of coding including use of billable CPTs, diagnosis codes, modifiers, place of service codes, and source codes to perform an in-depth analysis of root cause issues.

• Collaborates with the Epic team on EMR optimizations focused on workflow improvements to improve revenue capture.

• Performs denials analysis to reduce controllable rejections

• Extracts, collates, and refines data from multiple sources to manipulate into one reporting set using excel, BI tools, and other practice management systems

• Stays abreast of group payer contracts, payer policies, payer plans, and member benefits

• Presents data, analysis, and recommendations for solutions in meetings with departmental management, clinical leaders and senior leadership stakeholders

• Participates in training and other in-servicing sessions for end-user education

• Reviews and analyzes “Explanation of Benefits” (EOBs), payer correspondences to identify denials that can be appealed. Perform denials analysis to reduce controllable rejections. Perform deep-dive analysis to find solutions that can benefit multiple specialties.

• Prepares a communication plan for audit results and information discovered to relevant stakeholders. Participates in developing best practices for relevant changes.

• Develops new report templates for ad-hoc and or standard monthly reports to assist with monitoring of Revenue Cycle Metrics. Provides a detailed assessment of revenue cycle processes with a focus on process improvement and best practices. Monitor and analyze to compare with industry benchmarks

• Prepares monthly reports, analysis, and formal presentations for departmental and central administration leadership. Delivers presentations as needed.

• Works closely with Department management to facilitate root issue remediation.

• Identifies key topics and best practices for optimization and establishes mechanisms to share expertise and knowledge amongst peers.

• Serves as liaison between – Revenue Cycle Management team and the clinical departments in the coordination of revenue cycle projects and activities.

• Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

• Performs other duties and responsibilities as assigned by the CFO and Director of Revenue Cycle Office.


Minimum Qualifications:

1. Master’s degree from an accredited college or university in Accounting, Finance, Business Administration or a related discipline with an emphasis on accounting and financial systems; and four (4) years of responsible-level experience in fiscal management or administration with an emphasis on financial systems, management information and controls, three (3) years of which must have been in responsible administrative or managerial capacity; or

2. Bachelor’s degree from an accredited college or university in disciplines, as listed in “1” above; and five (5) years of experience, as described in “1” above, three (3) years of which must have been in a responsible administrative or managerial capacity.


Department Preferences:

1. Build strong relationships and leads effectively through motivation and influence.

2. Data driven and results oriented.

3. Effectively communicates mission and vision.

4. Experience using Microsoft Office (Excel, Word, PowerPoint, Access) and EPIC


NYC Health and Hospitals offers a competitive benefits package that includes:

  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Loan Forgiveness Programs for eligible employees
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • College tuition discounts and professional development opportunities
  • Multiple employee discounts programs

  • Revenue Cycle/Operations Specialist

    4 days ago

    Brooklyn, United States NYC Health + Hospitals Full time

    About NYC Health + Hospitals: Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital....

  • Revenue Cycle/Operations Specialist

    2 weeks ago

    Brooklyn, United States NYC Health + Hospitals Full time

    About NYC Health + Hospitals:Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital....

  • Revenue Cycle Compliance Manager

    2 days ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview:The purpose of this position is to oversee the operations of the Revenue Cycle Billing and Reimbursement Compliance function across the OBHS enterprise and to ensure that the organization is in compliance with federal, state, and company guidelines. This position is also responsible for conducting audits of medical record documentation billed to...

  • Revenue Cycle Compliance Manager

    1 day ago

    Brooklyn, United States One Brooklyn Health Full time

    Overview:The purpose of this position is to oversee the operations of the Revenue Cycle Billing and Reimbursement Compliance function across the OBHS enterprise and to ensure that the organization is in compliance with federal, state, and company guidelines. This position is also responsible for conducting audits of medical record documentation billed to...

  • Revenue Cycle Compliance Manager, OBH

    3 days ago

    Brooklyn, New York, United States The Brookdale Hospital Medical Center Full time

    Overview: The purpose of this position is to oversee the operations of the Revenue Cycle Billing and Reimbursement Compliance function across the OBHS enterprise and to ensure that the organization is in compliance with federal, state, and company guidelines. This position is also responsible for conducting audits of medical record documentation billed to...

  • Director of Revenue Enablement

    1 week ago

    Brooklyn, United States Altana AI Full time

    Altana provides the world's only dynamic, intelligent map of the global supply chain - the Altana Atlas - using AI and machine learning models to connect with and learn from massive sets of public and private data. Through the Atlas, companies and governments can understand the distant origins of products well beyond their own direct suppliers; discover...

  • Director Ad Sales Finance, FP&A

    1 week ago

    Brooklyn, United States NBCUniversal Full time

    Job Description The NBCU Local Division consists of 43 local NBC and TLMD stations and 6 Regional Sports Networks. Reporting to the VP of Ad Sales Finance, this position will play a critical role supporting $2B of advertising sales. The Director will partner with NBCU Local Sales & Finance Leadership, Operations, Sales Business Development & Strategy,...

  • Computer Specialist I-iii

    4 weeks ago

    Brooklyn, United States Metropolitan Transportation Authority Full time

    **Description** **Job Information** First Date of Posting: 4/17/2024 Last Date of Filing: 5/8/2024 Authority: NYCTA Department: Subways Division/Unit: MOW Engineering Reports to: Supervisor Work Location: 130 Livingston Street Hours of Work: Various **TA Applicants must be in a permanent civil service status in the title(s) of**Computer Associate /...

  • Implementation Specialist

    2 days ago

    Brooklyn, United States Square LLC Full time

    Job Description We are looking for a Retail Onboarding Support Specialist to join our team! Reporting directly to our Retail Onboarding Manager, in your role you will manage the final stages of the sales funnel, working with merchants to drive the deal through to activation and accelerate the onboarding process. You will manage the relationship with the...

  • Youth Peer Specialist

    16 hours ago

    Brooklyn, United States Interborough Developmental and Consultation Center Full time

    **CCBHC, Youth Peer Specialist (CPRA)** **JOB TITLE**:Youth Peer Specialist (CPRA) **REPORT TO**:Peer Supervisor **DEPARTMENT**: CCBHC We believe that in-person operations are the best way to serve our clients, both directly and through essential operational support. This position requires in-person attendance with a team at 1 Brooklyn clinic location...

  • IT Support Specialist

    3 weeks ago

    Brooklyn, New York, United States teamworkonline Full time

    BSE Global ("BSE") is a multifaceted sports and entertainment business that brings people together to experience music, sports, and culture through our teams and venue. Through these experiences and in our workplace, we strive to elevate our business, grow our fan base, and cultivate a community anchored in belonging and inclusion in every aspect, on and off...

  • Behavior Intervention Specialist

    6 days ago

    BROOKLYN, United States Community Options, Inc. Full time

    Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are seeking a Full-Time Behavior Support Specialist to provide support in Brooklyn, NY to help effectively support individual Behavior, Support Specialist, Specialist, Operations, Healthcare, Staff

  • Behavior Support Specialist

    2 weeks ago

    BROOKLYN, United States Community Options, Inc. Full time

    Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are seeking a Full-Time Behavior Support Specialist to provide support in Brooklyn, NY to help effectively support individual Support Specialist, Behavior, Support, Specialist, Operations, Healthcare, Staff

  • Director, Global Partnerships Business Operations

    1 month ago

    Brooklyn, New York, United States teamworkonline Full time

    BSE Global ("BSE") is a multifaceted sports and entertainment business that brings people together to experience music, sports, and culture through our teams and venue. Through these experiences and in our workplace, we strive to elevate our business, grow our fan base, and cultivate a community anchored in belonging and inclusion in every aspect, on and off...

  • EHS Compliance Specialist

    2 weeks ago

    Brooklyn, United States Schwan's Company Full time

    Assists in organizing and administering a comprehensive safety and compliance program. Performs root cause analysis to investigate incidents and identifies possible changes to reduce the potential for reoccurrence or failure of a covered process; in Compliance Specialist, Compliance, EHS, Specialist, Operations, Manufacturing, Healthcare, Program

  • Director, Global Partnerships Business Operations

    1 month ago

    Brooklyn, United States teamworkonline Full time

    BSE Global (“BSE”) is a multifaceted sports and entertainment business that brings people together to experience music, sports, and culture through our teams and venue. Through these experiences and in our workplace, we strive to elevate our business, grow our fan base, and cultivate a community anchored in belonging and inclusion in every aspect,...

  • IT Security Officer/Systems Specialist

    7 days ago

    Brooklyn, United States New York Eastern District Court Full time

    Main content Job Details for IT Security Officer/Systems Specialist Court Name/Organization: New York Eastern District Court Overview of the Position: The IT Security Officer/Systems Specialist performs work related to the implementation and administration of information technology security policies and practices, collaborates with other regional and...

  • Day Habilitation Specialist

    2 weeks ago

    Brooklyn, United States The New York Foundling Full time

    At The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York-based nonprofit has supported hundreds of thousands of our neighbors on their own paths to stability, strength, and independence. We help children and families navigate through and beyond foster...

  • Day Habilitation Specialist

    2 weeks ago

    Brooklyn, United States The New York Foundling Full time

    At The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York-based nonprofit has supported hundreds of thousands of our neighbors on their own paths to stability, strength, and independence. We help children and families navigate through and beyond foster...

  • Day Habilitation Specialist

    2 weeks ago

    Brooklyn, United States The New York Foundling Full time

    At The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York-based nonprofit has supported hundreds of thousands of our neighbors on their own paths to stability, strength, and independence. We help children and families navigate through and beyond foster...