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About the Role

HSS is a leading hospital for orthopedics and rheumatology, recognized by U.S. News & World Report and a recipient of the Magnet Award for Nursing Excellence. We offer an innovative, supportive, and inclusive environment for professionals at all career stages.

Responsibilities

• Assists with contracts and negotiation of physician managed care contracts, analytics, and financial modeling.
• Coordinates physician enrollment in managed care plans.
• Ensures compliance of managed care companies with negotiated contracts.
• Follows up and resolves payment issues with Insurance Payors.
• Acts as a liaison between physician offices and Insurance Payors.
• Schedules, coordinates, and documents for all PHO related meetings.
• Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
• Oversees PHO phone line, answers and responds to inquiries, and assists with urgent physician office issues.
• Maintains satisfactory attendance record.
• Reports for duty punctually.
• Adjusts to changing situations and work assignments.

Requirements

• Proficient in the use of computers and software, including Microsoft Excel and Word.
• Technical proficiency and ability to work independently.
• Analytical skills.
• Continuously stand/walk or lift/handle/carry material or equipment of moderate weight (20 to 50 lbs).
• Indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise.
• Tasks that involve exposure to blood, body fluids, tissues, and other potentially infectious materials.

Skills

• Knowledge of Orthopedic and/or Rheumatologic terminology is a plus.

Location

• New York City

Work Type

• Regular Full time
• Day

Education Level

• Doctorate

Salary/Compensations

• $71,564.06 - $78,010.40

Benefits

• Eligible for additional benefits consistent with the role.

About the Company

• HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report.
• As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation.
• HSS provides high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment.

Equal Opportunity

• Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.