RN Revenue Management Specialist - Day Shift

NewYork-Presbyterian; United States; On-site; USD 126,000 - 168,000; Full time

Job summary

NewYork-Presbyterian Hospital in New York, NY is seeking a Revenue Management Specialist - RN for day shift. The role combines clinical expertise with reimbursement analytics to support patient care and hospital finances.

The ideal candidate holds a NY RN license, a BSN, and at least three years in case management or acute care, with EMR/EPIC experience to navigate denials and authorizations. On-site role with competitive compensation and benefits.

Qualifications

• RN license in New York state.
• BSN required.
• Minimum 3 years in hospital case management or acute care.
• Experience with EMR systems, preferably EPIC.

Responsibilities

• Provide clinical information for reimbursement requests.
• Manage denials from third-party payers within timeframes.
• Review medical necessity based on precertification.
• Monitor correspondence and end-of-day reports for accuracy.
• Support the 2-Midnight Stay initiative and appropriate setting reviews.

Skills

RN licensure

EMR/EPIC experience

Clinical documentation

Education

BSN

Tools

EPIC EMR

Job description

NewYork-Presbyterian Hospital in New York, NY is seeking a Revenue Management Specialist - RN for day shift. The role combines clinical expertise with reimbursement analytics to support patient care and hospital finances.

The ideal candidate holds a NY RN license, a BSN, and at least three years in case management or acute care, with EMR/EPIC experience to navigate denials and authorizations. On-site role with competitive compensation and benefits.