Revenue Cycle Quality Specialist

4 days ago


Melville, New York, United States Northwell Health Full time
Job Description

Analyzes and implements revenue cycle activities across sites, ensuring goal setting and tracking. Recommends development and analysis of implementation plans for System development and implementation of Revenue Cycle Business Operations.

Serves as a liaison between business and technology teams, participating in developing and delivering training programs for current and prospective users. Educates practice, site, and corporate management on Revenue Cycle Business Operations policies and procedures.

Assists implementation team in configuring HIPAA rules based on System policies and legal requirements. Ensures processes are compliant with system policies, applicable laws, and contractual bargaining agreements.

Develops procedures for system audits, resolves discrepancies, and collaborates with implementation teams to resolve user issues. Consults with departments to provide customer support during and post-implementation.

Troubleshoots issues and resolves concerns, recommending necessary fixes. Advises management of results and recommends actions. Consults with newly acquired facilities and designs transition and implementation plans.

Operates under general guidance, with varied and independent work assignments requiring interpretation and decision-making.

Job Qualification

Bachelor's Degree required, or equivalent combination of education and related experience. 1-3 years of relevant experience required. Strong Excel analytical experience, with ability to track and report statistical variances and prepare and present regular summary reporting.



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