Location

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Description:

Position Summary

Collects and reviews patient benefits to determine the estimated out-of-pocket costs for patient care on an individual basis and informs patients of available resources for charges incurred, as needed.

Essential Job Duties

• Reviews new patient insurance for authorization or referral requirements, as applicable.
• Performs preliminary financial screening, identifying red flags prior to consultation/evaluation. Advises patient of findings prior to initial encounter.
• Performs comprehensive financial screening of medical, professional, rehabilitation, and home health and prescription drug benefits following initial authorization clearance.
• Provides detailed written documentation of financial responsibility after meeting with patients.
• Attends departmental meetings to present financial considerations to key personnel, as applicable.
• Keeps appropriate staff apprised of all changes to patient’s financial requirements. Makes changes to financial screening protocol, as necessary.
• Applies department processes for applicable financial assistance programs. Demonstrates knowledge of Federal and State requirements for assistance to patients with an inability to pay.

Qualifications Required

Education

• High School Diploma or GED
• Bachelor’s Degree from a recognized college or significant work experience in lieu of degree

Work Experience

• Five years related experience
• Knowledge of third party reimbursement (contracting and non-contracting) and eligibility requirements for all subsidy programs
• Knowledge of Commercial/Government coverage
• Knowledge/ability to obtain insurance benefit verification
• Knowledge CPT/ICD10 - Preferred

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
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• 2021 "Employees' Choice Awards: Best Places to Work" - Glassdoor
• 2021 " Best Workplaces in Health Care & Biopharma" - Fortune
• 2020 "America's Best Employers in New York State" - Forbes
• 2020 "Working Mother 100 Best Companies" - Working Mother
• 2020 "Best Companies for Multicultural Women" - Working Mother
• 2020 "Best Workplace for Men in Nursing" - American Association for Men in Nursing
• Discover why at: nyp.org/careers

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

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.