Revenue Management Specialist - RN - Days

NewYork-Presbyterian; New York (NY); Vor Ort; USD 126.000 - 168.000; Vollzeit

Zusammenfassung

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.

Qualifikationen

• 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.

Aufgaben

• 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.

Ausbildung

Bachelor’s Degree in Nursing (BSN)

New York State RN License

Tools

EMR systems/EPIC

Jobbeschreibung

## **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 experienceJoin 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.\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_\\_* 2026 Best Companies in Healthcare, Biotech & Pharma – Glassdoor* 2026 Best Place to Work – Glassdoor* 2026 America’s Best Large Employers – Forbes* 2026 America’s Best-In-State Employers – Forbes* 2026 America’s Dream Employers – Forbes* 2026 America’s Greatest Workplaces for Culture, Belonging & Community – Newsweek* 2026 Best Places to Work in IT - Computerworld* 2025 Great Place to Work Certified* 2025 Best Employers for Women – Forbes* 2025 Companies that Care – People* 2025 America’s Greatest Workplaces for Mental Well-Being - Newsweek*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.*