NYU Langone is one of the nation's premier academic medical centers that includes five hospitals (Tisch Hospital, Rusk Rehabilitation, Hospital for Joint Diseases, Hassenfeld Children's Hospital of New York, and NYU Lutheran Medical Center) and more than 200 ambulatory locations across the New York metropolitan area. It also includes NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. Our trifold mission to serve, teach, and discover is achieved daily through an integrated academic culture devoted to excellence in patient care, education, and research. Learn more about NYU Langone.
We have an exciting opportunity to join our team as a Revenue Management Assistant-Pricer.
Position Summary: In this role, the Revenue Management Assistant-Pricer performs charge entry activities on all assigned inpatient and outpatient accounts audited by the Revenue Management Department (RMD). The Pricer adds/removes charges identified by the Code Based Reimbursement Analyst and Clinical Charge Audit Analyst and calculates the expected revenue opportunity.
Works collaboratively and shares necessary tools and resources to accomplish goals.
FTPs database files to IRM website on a weekly basis and whenever necessary.
Runs reports and uploads patient data into data base. Refers issues, questions and reports findings to the appropriate party.
Facilitates late charge reconciliation, assigns late charges in the hospital billing system to the appropriate Auditor and coordinates monitoring of duplicate charge review. Performs follow-up to ascertain the charges are accurate.
Coordinates and performs follow-up on all medical record requests, serves as a liaison between the RMD auditors and the Health Information Management (HIM) Department.
Reviews managed care contracts to improve understanding of contract terminology.
Assigns accurate payment methodologies from contract matrix, based on payer reimbursement methodology, assuring correct and accurate reimbursement. Identifies and posts correct revenue codes and department- cost centers.
Accurately enter all charge discrepancies on designated accounts in addition to assigning accurate payment reimbursement on designated accounts.
To qualify you must have a High School Diploma is required. A minimum of two years of data entry experience (both alpha and numeric) in healthcare related field preferred.
Experience with PCs, word processing, spreadsheet, graphics, and database software applications are desired.
Strong interpersonal, communication and computer skills.Ability to understand insurance terms, contract language (e.g. HMO, PPO, exclusions, and percent of charges), medical records, hospital bills, and the charge master.
Knowledge of medical terminology and medical supplies
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Medical Center is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Medical Center's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit http://www1.eeoc.gov/employers/poster.cfm for more information.
NYU Langone Medical Center, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of... only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.NYULMC.org.