Revenue Management Specialist - RN - Days

NewYork-Presbyterian Hospital; New York (NY); Sur place; USD 126 000 - 168 000; Plein temps

Résumé du poste

New York Presbyterian Hospital in New York, NY seeks a Revenue Management Specialist - RN to optimize reimbursement processes, leveraging nursing knowledge to assess medical necessity and review denials. The role supports concurrent and retrospective reviews in a high-demand setting.

Responsibilities include ensuring accurate authorizations, evaluating 1-2 day stays for proper setting, and driving the 2-Midnight Stay initiative.

Qualifications

• RN with hospital experience in case management or acute care is required.
• Strong clinical documentation and communication skills needed.
• Experience with denial management is desirable.

Responsabilités

• Review medical necessity based on authorization from precertification.
• Manage denials from third party payers within required timeframes.
• Monitor end-of-day reports to ensure accuracy and proper authorizations.
• Contribute to the hospital-wide 2-Midnight Stay initiative.

Connaissances

Nursing experience

Clinical documentation

Denial management

Formation

Bachelor's Degree in Nursing (BSN)

Outils

EPIC

EMR systems

Description du poste

Description

Feel the Pride of Revenue Management at Its Best. Behind every patient success story - before every clinical breakthrough - stands the unparalleled team of professionals at New York Presbyterian Hospital. With leading specialists in every field of medicine, the advances pioneered at NewYork-Presbyterian Hospital (NYP) have improved the lives of people everywhere. Uniting the power of two renowned medical centers – NYP/Columbia University Medical Center and NYP/Weill Cornell Medical Center - we deliver the highest level of inpatient, ambulatory and preventative care.

Location

New York, New York

Shift

Day (United States of America)

Description

Feel the Pride of Revenue Management at Its Best

Behind every patient success story - before every clinical breakthrough - stands the unparalleled team of professionals at New York Presbyterian Hospital. With leading specialists in every field of medicine, the advances pioneered at NewYork-Presbyterian Hospital (NYP) have improved the lives of people everywhere. Uniting the power of two renowned medical centers – NYP/Columbia University Medical Center and NYP/Weill Cornell Medical Center - we deliver the highest level of inpatient, ambulatory and preventative care.

Revenue Management Specialist - RN - Days

Under the supervision of a very supportive and energetic Manager, utilize your medical knowledge to provide concurrent or retrospective clinical information required for reimbursement. Manage denials from third party payers within required timeframes. Focus on reviewing medical necessity based off of authorization from precertification. Monitor all incoming correspondence and end of day reports to insure accuracy and authorizations. Play an integral part of the hospital wide 2-Midnight Stay initiative. All one and two day stays are reviewed for appropriate setting and converted accordingly.

Preferred Criteria

• Bachelor’s Degree in Nursing (BSN)
• Minimum of 3 years of hospital experience in case management or acute care
• Experience with EMR systems or EPIC

Required Criteria

• New York State License as a Registered Nurse
• Minimum of 3 years of clinical experience or denial management experience

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

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NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range

$126,000-$167,500/Annual

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.