Systems Analyst
: Job Details :

NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue's clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children's Psychiatric Emergency Program; and Cancer Services. 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 Position Summary: A member of the revenue cycle process, the Systems Analyst is responsible for working with the Sr. Systems Analyst to review claim errors and claims that have not final billed. The Systems Analyst is responsible for knowing current rules and regulations for each payers' errors and timely filing guidelines. Major responsibilities include account research, correcting Billing and ADT/Reg claim errors and identifying the root cause, potentially rebilling accounts, correcting SPARCS edits and running reports. The Systems Analyst could also be responsible for itemized bill preparation, preparing and completing manual claims for submission to payers and updating patient accounting systems. The Systems Analyst also performs related functions in support of the Patient Financial Services operations and other duties, as assigned. Essential Job Functions: The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to the position within the revenue cycle process. Ensure compliance with payer rules and regulations Effectively use computer systems

• Review ADT/Reg errors and report the issues resulting in the error to the Director during team meetings.
• Analyze all ADT/Reg errors by creating reports to form a root cause analysis with the team to help prevent future errors.
• Document patient information clearly and completely in the billing systems
• Review and work appropriate claim errors to ensure claims are billed clean and timely In order to maximize revenue.
• Resolving ADT/Registration claim errors timely Correcting SPARCS errors and resubmitting Interact with other departments to help alert them of claim error trends and help them to resolve.
• Refer accounts requiring escalation to Supervisor in a timely manner
• Attend all necessary training sessions and meetings to effectively perform the day-to-day functions of the position
• Perform all other duties as assigned by the Patient Accounting Manager or Supervisor

Minimum Qualifications 1. A Baccalaureate Degree in a relevant field from an accredited college or university; and, 2. One year of experience in business, government, hospital, educational institution or a non-profit organization in analysis, development and implementation of systems, methods and procedures, management information development and data coordination.Familiarity with EDP applications and data processing programs; or, 3. A Masters Degree in Management, Business Administration, Hospital Administration Management, Public Administration, Accounting or relevant field from an accredited college or university; or, 4. A satisfactory combination of education, training and experience. 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