Revenue Management RN — Day Shift & Denials Pro

NewYork-Presbyterian; New York (NY); On-site; USD 126,000 - 168,000; Full time

Job summary

New York Presbyterian Hospital is seeking a Revenue Management Specialist - RN to support reimbursement processes. The role requires a BSN, an NYS RN license, and at least 3 years in hospital case management or acute care, with EMR/EPIC experience.

The incumbent will supervise denials, ensure timely authorizations, and participate in the 2-Midnight Stay initiative. On-site position with competitive compensation and benefits.

Qualifications

• Bachelor’s degree in Nursing (BSN) required.
• New York State RN license required.
• Minimum of 3 years hospital experience in case management or acute care.
• Experience with EMR systems or EPIC.

Responsibilities

• Provide concurrent or retrospective clinical information required for reimbursement.
• Manage denials from third party payers within required timeframes.
• Review medical necessity based on precertification authorization.
• Monitor incoming correspondence and end-of-day reports to ensure accuracy and authorizations.
• Contribute to the 2-Midnight Stay initiative by reviewing appropriate settings.

Education

Bachelor’s Degree in Nursing (BSN)

New York State RN License

Tools

EMR systems/EPIC

Job description

New York Presbyterian Hospital is seeking a Revenue Management Specialist - RN to support reimbursement processes. The role requires a BSN, an NYS RN license, and at least 3 years in hospital case management or acute care, with EMR/EPIC experience.

The incumbent will supervise denials, ensure timely authorizations, and participate in the 2-Midnight Stay initiative. On-site position with competitive compensation and benefits.