NYU Rory Meyers College of Nursing · 2 months ago
Insurance Analyst
US-NY-New York
Full-time
Hybrid
Mid Level
$71K/yr - $87K/yr
3+ years expNYU Rory Meyers College of Nursing is seeking an Insurance Analyst to manage claims adjudication and improve revenue cycle processes. The role involves analyzing claims, managing underpayment appeals, and collaborating with various departments to enhance operational standards.
Education Management
Responsibilities
Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial Insurance and other payers
Analyze, audit and recover outstanding receivables
Identify trends in payments, underpayment/overpayments and denials
Work with respective departments to evaluate trends and be part of the team that works towards resolution and improvement of the revenue cycle processes
Directly manage and resolve all assigned underpayment appeals, follow-up and payer relationships
Report to management any gross payment discrepancies by payers
Contact payer to resolve appeals and final solution to claims
Collaborate with the Director of Insurance Strategy in developing, implementing and maintain operational standards, providing guidance and direction relating to the performance of claims adjudication process
Train staff and administrators to support their adherence to existing and future changes relative to insurance guidelines
Qualification
Required
Bachelor's degree
3 years' relevant professional experience including reviewing and auditing insurance payments and denials, recommending policies and systems, and staff training or an equivalent combination of education and experience
Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues with denials and claims payments
Excellent analytical, communication and negotiation skills
Preferred
Master's degree in Business or Health Care Administration
Company
NYU Rory Meyers College of Nursing
At NYU Rory Meyers College of Nursing, we generate knowledge through research in nursing, health, and interdisciplinary science; we educate leaders in nursing to advance healthcare locally and globally; we provide innovative and exemplary healthcare, and we shape the future of nursing through leadership in healthcare policy.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase