Revenue Cycle Analyst

Stony Brook University • Stony Brook, NY

381d • $64,945 - $79,169

About The Position

The Revenue Cycle Analyst at Stony Brook Medicine will provide operational support and analytical services within the hospital's Business Office. This role involves collaborating with subject matter experts to enhance business functions, improve performance, and conduct reporting and benchmarking. The ideal candidate will have strong technical and analytical skills, capable of summarizing and analyzing business data, mastering software tools, and effectively communicating business processes and trends.

Requirements

• Bachelor's of Science degree in Accounting, Finance, Health Information Management, Health Administration, Computer Science, or a related field.
• Proficiency in Microsoft Office Suite including Excel, Word, Access, Visio, and PowerPoint.
• Excellent written and verbal communication skills.

Nice To Haves

• Masters Degree or Professional Licensure.
• Experience in an Acute Care Hospital, Health System Revenue Cycle, Accounting, Finance, Information Technology, or Decision Support role.
• 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.
• Knowledge of Invision Patient Accounting, RPM, Contract Management, and/or Claims Scrubber Software.
• Knowledge of SQL or Database Queries.
• Experience reporting from healthcare decision support, patient accounting, contract management, and/or claims scrubber systems.
• Proficiency with SAP Business Objects, Crystal Reports, and visualization software (Tableau, MS Power BI, etc.)

Responsibilities

• Analyze claims and remittance data and present findings to departmental leadership.
• Complete variance and trend analyses via spreadsheets, databases, and dashboards.
• Create audit and reconciliation plans related to charges, adjustments, expected reimbursement, and denials.
• Document and validate business processes and business systems configuration, including Patient Billing, Claims Scrubber, Contract Management, and Work Listing Software.
• Interpret billing, coding, and payment regulations, as well as third-party contracts.

Benefits

• Generous leave policies
• Health plans
• State pension
• Location pay for certain full-time positions ($3,400)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Educational Services
• Education Level: Bachelor's degree