RN Revenue Management Specialist — Day Shift

NewYork-Presbyterian Hospital; New York (NY); Presencial; USD 126 000 - 168 000; Tempo integral

Resumo da oferta

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.

Qualificações

• 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.

Responsabilidades

• 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.

Conhecimentos

Nursing experience

Clinical documentation

Denial management

Formação académica

Bachelor's Degree in Nursing (BSN)

Ferramentas

EPIC

EMR systems

Descrição da oferta de emprego

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.