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About the Role
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. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
Responsibilities
- Assists in the 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).
- 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.
Work Type
- Regular Full time
- Day
Education Level
- Doctorate
Salary/Compensations
- $74,426.62 - $81,130.82
Benefits
- Eligible for additional benefits consistent with the role.
About the Company
- How you move is why we’re here.
- 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 success.
- If this describes you then let’s talk!
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.