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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, including negotiation, 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 PHO related meetings.
- Creates and maintains tracking logs for Insurance Payor issues.
- Oversees PHO phone line, responds to inquiries, and assists with urgent physician office issues.
- Maintains satisfactory attendance and punctuality.
- Adjusts to changing situations and work assignments.
Requirements
- Previous experience in Env. Services within the healthcare industry is preferred.
- Strong customer service awareness is preferred.
- Strong communication skills are required.
- Ability to operate basic hospital housekeeping equipment for cleaning, sanitizing, and floor care is required.
- Must be able to continuously stand/walk or lift/handle/carry material or equipment of moderate weight (20 to 50 lbs).
- Regular exposure to fumes or odors, temperature extremes, or loud noises which cause noticeable discomfort or moderate risk of accident or illness.
- Involves exposure to blood, body fluids, tissues, and other potentially infectious materials.
Work Type
- Regular Full time
Experience Level
- 0 years of experience required
Education Level
- High school diploma or equivalent (G.E.D.)
Salary/Compensations
- $30.32 - $31.42
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.
- HSS was the first hospital in New York City to receive the distinguished Magnet Award for Nursing Excellence.
- HSS provides an innovative, supportive, and inclusive environment.
- We are committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment.
Equal Opportunity
- 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.