Associate Project Manager (Revenue Cycle)

Northwell Health•New Hyde Park, NY

36d

About The Position

Partners, supports, and facilitates vital healthcare revenue cycle projects. Assists with management of project plans, research and analysis. Coordinates implementation of project plans and evaluates outcomes. This role is instrumental in ensuring claims are accurately prepared and edited within Epic before submission to payers, thereby minimizing denials, improving clean claim rates, and optimizing revenue. The Analyst assists with project planning, research, and analysis related to claims management and billing workflows, ensuring initiatives meet their strategic objectives and timelines.

Requirements

Bachelor's Degree required, or equivalent combination of education and related experience. Preferably in Healthcare Administration, Business, Finance, or a related field, or equivalent combination of education and related experience
0-1 years of relevant experience, required.

Nice To Haves

Demonstrated understanding of the healthcare revenue cycle, claim lifecycle, and denial prevention strategies.
Proficiency with Epic EMR, specifically with claims work queues and billing modules.
Understanding of payer guidelines and regulations (e.g., Medicare, Medicaid, commercial payers).
Exceptional attention to detail and analytical skills to identify claim errors and root causes of potential denials.
Strong communication and interpersonal skills to collaborate effectively with billing, coding, and clinical teams.
Ability to manage multiple tasks, prioritize, and meet deadlines in a fast-paced environment
Certified Associate in Project Management (CAPM) certification, or actively pursuing.

Responsibilities

Assists the project initiation process by creating project timetables and tracking execution and workflow related to revenue cycle initiatives, specifically claim editing, work queue management, and denial prevention.
Aids the preparation of project status reports, highlighting key metrics related to claims accuracy, edit volumes, and potential denial impact.
Coordinates with Epic users and other billing/coding teams to optimize claim editing processes and ensure adherence to payer-specific guidelines.
Manages and prioritizes work queues within Epic to identify and correct claims flagged for edits, ensuring clean claim submission.
Assists the project initiation process by creating project timetables and tracking execution and workflow.
Aids the preparation of project status reports.
Assists internal and external groups to optimize success of project deployment.
Participates in communication with user departments and project teams on project activities.
Assists the management to develop tools and metrics to evaluate performance of target initiatives.
Helps in driving risk management process improvements, efficiencies and workflow enhancements.
Assists in the development and maintains department policies and procedures.
Operates with direct guidance and work assignments are generally straightforward and of moderate complexity.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.