The Hospital for Joint Diseases (HJD) at NYU Langone Medical Center is one of the nation's leading orthopaedic and rheumatologic, specialty hospitals dedicated to the prevention and treatment of musculoskeletal diseases. The hospital provides some of the most advanced orthopaedic programs in the region for musculoskeletal disorders and the largest pediatric orthopaedic program in New York City. HJD is consistently ranked among the leading orthopaedic centers nationwide by U.S. News and World Report. Our expert physicians combine extensive experience and research with the latest technology for bone and joint problems that affect patient's ability to function. We specialize in the following areas: Orthopaedic Surgery Rheumatology Neurology Radiology.
We have an exciting opportunity to join our team as a Financial Clear Unit Rep in the Finance/Insurance Verification Department. To qualify a High School Diploma or equivalent is required, Associates Degree or 24 credits towards a college degree preferred. One (1) year of healthcare customer service experience preferred. Excellent interpersonal, communication, and creative problem solving skills required. The ability to sit, talk on the phone with patients and staff, while entering data in the computer is required.
In this role, the successful candidate will be responsible for accurately obtaining all pertinent patient demographics, financial/insurance information to properly record episode and to maximize reimbursement for the medical center. Including completing out of pocket liability calculations, and explain estimated cost to the patient. Qualified candidates must be able to effectively communicate with all levels of the organization.
Performs other duties as assigned.
Communicates and works as an effective team with all internal and external customers. Effectively complete tasks in a timely manner, sharing workloads, and identifying problems as an active team member. Volunteers assistance to others in completing departmental workload. Accepts assistance and constructive feedback to promote continuous improvement for all employees.
Seeks new challenges and opportunities for learning beyond daily assignment. Is able to identify departmental goals, mission, and vision, and how it fits within hospital goals, mission, and vision. Is able to identify how this relates to their particular work assignments and performance.
Continuously seeks education and information about all payers and payment methods and procedures. Refers potential reimbursement problems to department leadership and other departments as per department policy.
Problem Solving: Identifying and resolving routine problems when possible. Uses independent judgment and initiative to identify and resolve issues. Accepts responsibility for quality and quantity of work performance. Seeks information necessary to accurately complete all aspects of the jobs requirements. Identifies problems requiring supervisory intervention. Participates in department performance improvement activities and work. Develops time management skills effectively to complete all work assignments and adapts to work time/flow changes to meet the needs of the department and hospital.
Communication: Distributes patient information verbally and in writing. Answers telephones and e-mails in a timely, courteous and professional manner. Learns and communicates the policies and procedures of the department and NYU Hospitals Center. Communicates problems and messages to department leadership and co-workers.
Advise and/or collects co-payments due at or before time of service, in accordance with Revenue Cycle Operations policies and procedures.
Consistently elicits all information necessary to identify primary & secondary payers. Verifies insurance eligibility for current episode. Obtains authorization for specific episode of care. Enters financial data in computer systems promptly, accurately, and thoroughly, allowing for appropriate follow-up and collection of revenue.
Facilitates reimbursement for each episode of care, by determining and verifying payment sources and obtaining necessary payments and authorizations.
Correctly Entering Information: Accurately and thoroughly creates and updates patient episode in hospital information systems. Validates patient identity, reviews all previously obtained information for accuracy and completeness. Appropriately responds to all patients and familys questions. Obtains all required signatures. Documents pertinent information on all patient records.
Obtain & Collect Correct Information: Collects and distributes necessary data by conducting and documenting pre-registration processes. Interviews patients and their representatives, using appropriate skills, sensitivity, and judgment to obtain all necessary data and ensure an accurate and complete record.
The Hospital for Joint Diseases (HJD) at 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.
NYU Langone Health, 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 fi...ve 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.nyulangone.org.