What are the responsibilities and job description for the Business Systems Analyst 2; NYHELPS; Central Office position at New York State Office of Mental Health?
Duties Description
The Business System Analyst (BSA-2) position will support the Outpatient billing team that is critical to maintaining and developing the core competencies to manage the annual revenue cycle of $1 .3 billion. Issues experienced after implementing a new billing system coupled with increased complexity and volume of reimbursement workflows have resulted in an increased volume of work routinely performed by analysts. Diagnosis and remediation of billing edits and denials directly contribute to revenue generation and are highly time-sensitive due to health plan timely filing limits.
Primary duties of the incumbent on the Outpatient Billing Team will include (but are not limited to):
Non-Competitive through NYHELPS:
Seven years* of business analysis experience including: using business analysis techniques to elicit requirements as the foundation for the solution to the organizations business needs; using business analysis techniques for the purpose of identifying solutions aimed at improving the efficiency and effectiveness of the system, business process, or; describing in a comprehensive written document what the system, process, or product service must do in order to satisfy the established business requirement; this includes creating, updating, and maintaining documentation through the system development life cycle; validating requirements throughout the product or system development life cycle (SDLC) including all changes to the processes that would enable an organization to achieve its goals; or verifying requirements throughout the product/SDLC to ensure they perform to the required specifications and are capable of achieving the design capabilities; this includes developing test plans and logical designs, testing the scenarios, reviewing test results, identifying constraints and risks, or communicating with stakeholders.
Candidates must have permanent status as a Business Systems Analyst, SG-23 and be eligible for lateral transfer; OR Section 52.6 of the Civil Service Law by having at least one year of permanent service in a qualifying title within two salary grades of this position.
Additional Comments
Employment with New York State offers unmatched benefits, individual support, and career mobility for motivated individuals including: NYS pension and retirement programs; annual cost of living and performance advance increases; comprehensive medical, dental, and vision plans; flexible spending accounts for health and dependent care; paid time off, including thirteen paid holidays per year, and paid personal leave, vacation leave, and sick leave.
Specific scheduled hours and telecommuting availability for this position will be discussed during the interview process. Please note, employees are required to apply and obtain approval through management to telecommute according to operational needs and Agency Telecommuting Program Guidelines.
The Mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer.
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of NY HELPS, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply.
At a future date, it is expected that employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
The Business System Analyst (BSA-2) position will support the Outpatient billing team that is critical to maintaining and developing the core competencies to manage the annual revenue cycle of $1 .3 billion. Issues experienced after implementing a new billing system coupled with increased complexity and volume of reimbursement workflows have resulted in an increased volume of work routinely performed by analysts. Diagnosis and remediation of billing edits and denials directly contribute to revenue generation and are highly time-sensitive due to health plan timely filing limits.
Primary duties of the incumbent on the Outpatient Billing Team will include (but are not limited to):
- Monitor issues resulting from systems used to claim a myriad payers (Medicaid, Medicare, health plans, counties, private pay) for outpatient services including the legacy and modernized billing systems. Remediate issues, as needed.
- Monitor and remediate billing edits and errors. Provide recommendations to management to further develop standard operating procedures and increase revenue and processing efficiency.
- Ensure the billing system is kept up to date with changes to the Federal, State, and Payor guidelines for inpatient billing. Work with supervisor and Vendor staff to coordinate such changes to the system(s}, as needed.
- Monitor and remediate Medicare Return to Provider (RTP) rejections
- Perform regular and ad-hoc billing analyses to satisfy inquiries.
- Monitor and remediate billing errors in OMH's Claim Clearinghouse (SSI).
- Supervise subordinate billing analyst(s), as needed.
Non-Competitive through NYHELPS:
Seven years* of business analysis experience including: using business analysis techniques to elicit requirements as the foundation for the solution to the organizations business needs; using business analysis techniques for the purpose of identifying solutions aimed at improving the efficiency and effectiveness of the system, business process, or; describing in a comprehensive written document what the system, process, or product service must do in order to satisfy the established business requirement; this includes creating, updating, and maintaining documentation through the system development life cycle; validating requirements throughout the product or system development life cycle (SDLC) including all changes to the processes that would enable an organization to achieve its goals; or verifying requirements throughout the product/SDLC to ensure they perform to the required specifications and are capable of achieving the design capabilities; this includes developing test plans and logical designs, testing the scenarios, reviewing test results, identifying constraints and risks, or communicating with stakeholders.
- An associate degree may substitute for two years of experience; a bachelor’s degree may substitute for four years of experience; a master’s degree may substitute for five years of experience; and a doctorate may substitute for six years of experience.
Candidates must have permanent status as a Business Systems Analyst, SG-23 and be eligible for lateral transfer; OR Section 52.6 of the Civil Service Law by having at least one year of permanent service in a qualifying title within two salary grades of this position.
Additional Comments
Employment with New York State offers unmatched benefits, individual support, and career mobility for motivated individuals including: NYS pension and retirement programs; annual cost of living and performance advance increases; comprehensive medical, dental, and vision plans; flexible spending accounts for health and dependent care; paid time off, including thirteen paid holidays per year, and paid personal leave, vacation leave, and sick leave.
Specific scheduled hours and telecommuting availability for this position will be discussed during the interview process. Please note, employees are required to apply and obtain approval through management to telecommute according to operational needs and Agency Telecommuting Program Guidelines.
The Mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities. To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an equal opportunity/affirmative action employer.
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of NY HELPS, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply.
At a future date, it is expected that employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
Salary : $86,681 - $109,650