Patient Account Specialist
2 weeks ago
Title: System Analyst (Patient Account Revenue Specialist)
About NYC Health + Hospitals
Carter is a leading, comprehensive specialty care hospital and nursing facility dedicated to providing quality medical, sub-acute, rehabilitative and long-term specialty services. We are committed to serving the New York City and surrounding communities while setting the example as a national leader in long-term and subacute care with centers of excellence in areas such as: geriatrics, rehabilitation and ventilator dependence.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description
Position Overview: Under direct supervision, conducts investigations to determine the ability of patients and their legally responsible relatives to pay medical charges; explores alternative sources for payment for medical services rendered; verification of authorization and requests initial authorization for custodial care services; communicates regularly and working collaboratively with Central Admission team for the six (6) Post-Acute care facilities in pre-screening of all admission referrals to receive a consent/approval acknowledgment before client admission to Post-Acute Care facilities to obtain maximization of hospital’s revenue; adheres to financial clearance standard work; perform other related work.
Responsibilities:
Review the six (6) Post-Acute care facility ACB census received via email from Central Admission for verification of payer source; communicate with potential residents/patients/designated representative or social worker from referring facility as it relates to the insurance plan coverage with the understanding of involved deductibles, co-pays and co-insurance amount which resident/patient or their designated representative must pay the incurred bill from Primary insurance exhausted/non-covered date through discharge; if there is no secondary insurance involved to cover such expenses then quote facility daily rate and refer the client to speak with a financial counselor or billing manager on a financial agreement for private payment.
- Conduct verbal communication with HARP insureds before being admitted to PAC facilities to educate them on their insurance policy not covering custodial long-term placement and encourage the process of requesting dis-enrollment/transition to a Mainstream Medicaid Managed Care plan to cover long-term care Placement in a Post-Acute Care Facility.
- Communicate with potential residents/patients/designated representative on Medicaid guidelines as it relates to Medicaid eligibility with monthly NAMI responsibility, Medicaid transfer rules with penalty period, Medicaid recertification, Medicaid excess resources with financial agreement, Medicaid recertification and compliance with supplying updated financial documentation every year to recertify of continue Medicaid eligibility
- Explain monthly NAMI responsibility based on monthly income and request immediate re-routing of monthly income (Social Security, annuity payments, etc.)
- Explaining the Long-Term Placement process (MAP-2159I) for our Medicaid Managed Care insured and initiating a request for custodial authorization.
- PAC admission agreement will be explained to potential new residents/patients and encouraged to sign upon agreement of transfer to a Post-Acute Care Facility
- Explain if the resident/patient qualifies for Medicaid, the application will be submitted by the facility financial representative, and is requesting to furnish the full and completed documentation as required by the Medicaid office within a timely manner.
- Encourage signing of RFMS form before Post-Acute Care admission
- Answer questions/concerns courteously, offer guidance and escalate issues as needed to the Patient Account manager and Director
- Provides training and in-service for existing employees and new hires, provides support to staff development and process improvement to enhance quality of work activity, and communicates strategic departmental goals
- Participates in revenue cycle service monthly meetings and ensures adequate records of activities and problems are maintained as appropriate
- Complete special projects as assigned by the Patient Accounts Manager and Director
- Perform other duties as assigned and assist in coverage in the areas related to obtaining authorizations.
Minimum Qualifications
1. A Baccalaureate Degree in a relevant field from an accredited college or university; and,
2. One year of experience in business, government, hospital, educational institute or non-profit organization in analysis, development and implementation of systems, methods and procedures, management information development and data coordination. Familiarity with EDP applications and data processing programs; or,
3. A Masters Degree in Management, Business Administration, Hospital Administration Management, Public Administration, Accounting or relevant field from an accredited college or university; or,
4. A satisfactory combination of education, training and experience.
How To Apply
If you wish to apply for this position, please apply online by clicking the "Apply Now" button or go to employment.nychhc.org
NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Loan Forgiveness Programs for eligible employees
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- College tuition discounts and professional development opportunities
- Multiple employee discounts programs
-
Patient Services Specialist
1 month ago
New York, United States YAI Full timeIf you are a current YAI employee, please click this link to apply through your Workday account. Premier HealthCare offers high-quality primary care and specialty outpatient services. Open for anyone regardless of their ability to pay, Premier's outpatient services include primary care, dentistry, pediatrics, psychiatry, podiatry, neurology, dermatology,...
-
Patient Services Specialist
4 weeks ago
New York, United States YAI Full timeIf you are a current YAI employee, please click this link to apply through your Workday account. Premier HealthCare offers high-quality primary care and specialty outpatient services. Open for anyone regardless of their ability to pay, Premier's outpatient services include primary care, dentistry, pediatrics, psychiatry, podiatry, neurology, dermatology,...
-
Accounts Payable Specialist
4 weeks ago
New York, United States Career Developers Full timeRefer a friend: Referral fee program Career Developers Inc , a well-established staffing agency/consulting firm, is celebrating 30 years in business. Previously in Ramsey, NJ for 25 years and now headquartered in sunny West Palm Beach, FL, we offer comprehensive commercial and government staffing services nationwide (GSA Contract holder). With a portfolio of...
-
Patient Access Specialist II
2 weeks ago
New York, New York, United States 61st Street Service Corp Full timeJob Summary :The Patient Access Specialist II is part of a department-based scheduling pod that handles large volumes of inquiries and requests from patients and customers for access/assistance in scheduling diagnostic services, physician referral/appointments, and general department information. The Patient Access Specialists are experienced professionals...
-
Patient Access Specialist II
5 days ago
New York, New York, United States 61st Street Service Corporation Full timeJob Summary:The Patient Access Specialist II is part of a department-based scheduling pod that handles large volumes of inquiries and requests from patients and customers for access/assistance in scheduling diagnostic services, physician referral/appointments, and general department information. The Patient Access Specialists are experienced professionals...
-
Accounts Receivable Specialist
1 month ago
New York, United States Atrium Staffing Services Ltd. Full timeAbout Atrium: What you do matters. As a people-centric organization, we foster an environment of collaboration, high-performance and innovation where your talents are valued, and your achievements are celebrated. Join us and become part of an inclusive team. Client Overview: Our client a leader in the insurance industry is looking for an Accounts Receivable...
-
Patient Access Specialist
3 weeks ago
New York, United States Hospital for Special Surgery Full timeOverview: **How you move is why we’re here. **®** **Now more than ever.** Get back to what you need and love to do. The possibilities are endless... the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by _U.S. News & World...
-
Accounts Receivable Specialist
2 weeks ago
New York, New York, United States PrideStaff Full timeWe are seeking a dedicated and detail-oriented Accounts Receivable Specialist to join our team at Pridestaff. This in-office position requires excellent organization and time management skills, with working hours from 7 am to 4 pm and a one-hour lunc Accounts Receivable, Specialist, Microsoft, Project Management, Accounting, Staffing
-
Patient Access Specialist
3 days ago
New York, United States Hospital for Special Surgery Full timeOverview: **How you move is why we’re here. **®** **Now more than ever.** Get back to what you need and love to do. The possibilities are endless... the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by _U.S. News & World...
-
Account Specialist
6 days ago
New York, United States PPG Full timePrimary responsibility is to provide onsite and remote support to a designated group of National Accounts. You will manage and increase the customer base buying through our portal. You will work with our national strategic account team and customer support to ensure seamless exchange between our organization, distributors, and customers. The National...
-
Accounts Payable Specialist
4 weeks ago
New York, United States Creative Financial Staffing Full timeAccounts Payable Specialist Hybrid Schedule! About the Company & Opportunity My client is a well-established real estate firm conveniently located in Midtown, Manhattan near multiple forms of public transportation Real estate experience a plus, but not required! A great role for someone with accounting skills looking to break into the industry Firm is in...
-
Patient Access Specialist
1 week ago
New York, United States Hospital for Special Surgery Full timeOverview How you move iswhywe’rehere. ®Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and...
-
Dental Patient Relations Specialist
4 weeks ago
New York, United States New York Family Dentistry Full time**Overview**: The Patient Relations Specialist is dedicated to improving the patient experience by strengthening patient loyalty, building reputation and brand, and boosting utilization of our organization’s dental services through increased referrals to family and friends. Patient Experience is the sum of all interactions that patients have with New York...
-
Patient Account Analyst
3 weeks ago
New Haven, United States Yale New Haven Health Full timeTo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Patient Account Analyst is responsible for retrospective audits...
-
Patient Access Specialist Ii
4 weeks ago
New York, United States 61st Street Service Corp Full time**Job Summary**: The Patient Access Specialist II is part of a department-based scheduling pod that handles large volumes of inquiries and requests from patients and customers for access/assistance in scheduling diagnostic services, physician referral/appointments, and general department information. The Patient Access Specialists are experienced...
-
Accounts Receivable Specialist
1 month ago
New York, United States Perion Full timePerion is a global advertising technology company delivering solutions to the biggest brands and publishers around the globe across search, social media and display, video and CTV. Home to an award-winning technology solution -- with our unique data-driven AI/ML based technologies, we deliver and optimize hundreds of terabytes of data and billions of events...
-
Accounts Receivable Specialist
2 weeks ago
New York, United States Perion Full timePerion is a global advertising technology company delivering solutions to the biggest brands and publishers around the globe across search, social media and display, video and CTV. Home to an award-winning technology solution -- with our unique data-driven AI/ML based technologies, we deliver and optimize hundreds of terabytes of data and billions of events...
-
Patient Care Specialist
4 weeks ago
New York, United States Amerita Full timeOur Company: Amerita Overview: The **Patient Care Specialist** will serve as the Voice of Amerita and will be the primary contact for our patients, pharmacies, and medical professionals utilizing Amerita’s services. The specialist will field inbound and outbound requests such as: calls to onboard new patients, schedule refill orders, completing patient...
-
Patient Services Specialist
4 weeks ago
New York, United States YAI Full timeIf you are a current YAI employee, please click this link to apply through your Workday account.Premier HealthCare offers high-quality primary care and specialty outpatient services. Open for anyone regardless of their ability to pay, Premier's outpatient services include primary care, dentistry, pediatrics, psychiatry, podiatry, neurology, dermatology,...
-
Accounts Payable Specialist
6 days ago
New York, United States Algin Management Co., LLC Full time**Accounts Payable Specialist** **JOB DESCRIPTION** **Summary/Objective** The Accounts Payable Specialist compiles and maintains accounts payable records. **Responsibilities** - Reviews all invoices for appropriate documentation and approval prior to payment - Enters approved invoices into MDS software, ensuring correct charge of unit and account - Print...
