Post Doctoral Research Fellow

Hospital for Special Surgery; New York (NY); On-site; USD 74,000 - 81,000; Full time

Job summary

Hospital for Special Surgery in New York, NY is seeking a Regular Full time professional to support contract analytics and physician enrollment with a strong emphasis on accuracy and timely follow-up.

The role requires knowledge of Orthopedic and/or Rheumatologic terminology, a Doctorate, and comfort working in a fast-paced hospital environment. Day shift, on-site, with a competitive compensation package and benefits.

Qualifications

• Proficient in computers and software, including Excel and Word.
• Technical proficiency and ability to work independently.
• Analytical skills

Responsibilities

• Develops/Manages processes & systems; assists with contracts and analytics.
• Coordinates enrollment and physician enrollment in managed care plans.
• Ensures compliance of managed care companies with negotiated contracts.
• Resolves payor issues and follows up with insurance payors.
• Acts as liaison between physician offices and insurance payors.
• Schedules, coordinates, and documents PHO related meetings.
• Maintains tracking logs for insurance payor issues and accountability.
• Oversees PHO phone line and responds to urgent physician office issues.
• Maintains satisfactory attendance and punctuality; adapts to changes.

Skills

Analytical skills

Microsoft Excel

Microsoft Word

Education

Doctorate

Job description

How you move is why we’re here. ®Now more than ever.Get back to what you need and love to do.

How you move is why we’re here. ®Now more than ever.Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Regular Full time

Work Shift

Day (United States of America)

Compensation Range

The base pay scale for this position is $74,426.62 - $81,130.82. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

Job Description

What you will be doing

Years Of Experience Required

YEARS OF EXPERIENCE PREFERRED

Proficient in the use of computers and software, including Microsoft Excel and Word. Technical proficiency and ability to work independently.Analytical skills

PHYSICAL WORKING CONDITIONS

Continuously stand/walk or lift/handle/carry material or equipment of moderate weight Continuously stand/walk or lift/handle/carry material or equipment of moderate weight (20 to 50 lbs). d Physical Therapists.

ENVIRONMENTAL WORKING CONDITIONS

Indoor area with frequent exposure Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise. Examples: patient care providers and laboratory technicians.

HAZARDS OSHA

Category 1 Tasks that involve exposure to blood, body fluids, tissues, and other potentially infectious materials.

Position & Unit Accountabilities

• Develops/Manages Processes & Systems - Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
• Upholds Standards/Expectations of HSS Staff - Coordinates enrollment Coordinates physician enrollment in managed care plans.
• Upholds Standards/Expectations of HSS Staff - Ensures compliance Ensures compliance of managed care companies with negotiated contracts.
• Upholds Standards/Expectations of HSS Staff - Resolves payor issues Followsup and resolving payment issues with Insurance Payors.
• Upholds Standards/Expectations of HSS Staff - Acts as liaison Acts as a liaison between physician offices and Insurance Payors.
• Upholds Standards/Expectations of HSS Staff - Assists with meetings Schedules, coordinates, and documents for all PHO related meetings.
• Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
• Upholds Standards/Expectations of HSS Staff - Oversees PHO line Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues.
• Upholds Standards/Expectations of HSS Staff - Attendance Maintains satisfactory attendance record.
• Upholds Standards/Expectations of HSS Staff - Maintains punctuality Reports for duty punctually.
• Upholds Standards/Expectations of HSS Staff - Adjusts to change Adjusts to changing situations and work assignments.

Education Required

Doctorate

Education Preferred

CERTIFICATIONS/LICENSURE REQUIRED

Certifications/Licensure Preferred

SKILLS REQUIRED

Skills Preferred

Knowledge of Orthopedic and/or Rheumatologic terminology is a plus.

Non-Discrimination Policy

Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.