NYU Langone Orthopedic Hospital at NYU Langone Health is one of the nation's leading orthopedic and rheumatologic, specialty hospitals dedicated to the prevention and treatment of musculoskeletal diseases. The hospital provides some of the most advanced orthopedic programs in the region for musculoskeletal disorders and the largest pediatric orthopedic program in New York City. The hospital is consistently ranked among the leading orthopedic 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: Orthopedic Surgery, Rheumatology, Neurology, and Radiology.
Position Summary: We have an exciting opportunity to join our team as a Financial Clearance Unit Representative
In this role, the successful candidate accurately obtains all pertinent patient demographics and financial information to properly record episode and to maximize reimbursement for the medical center.
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.
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 family's questions. Obtains all required signatures. Documents pertinent information on all patient records.
Facilitates reimbursement for each episode of care, by determining and verifying payment sources and obtaining necessary payments and authorizations.
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.
Advise and/or collects co-payments due at or before time of service, in accordance with Revenue Cycle Operations policies and procedures.
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.
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 job's 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.
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.
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.
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.
Performs other duties as assigned.
Minimum Qualifications: High School Diploma or Equivalent. Excellent interpersonal skills, effective communication skills and creative problem solving.
Preferred Qualifications: Associate Degree/ 24 credits in a College or 1 year of Healthcare customer service experience.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Orthopedic Hospital at NYU Langone Health 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 is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. Included in the 200+ locations throughout the New York area are five inpatient locations: Tisch Hospital, its flagship acute-care facility; Rusk Rehabilitation, ranked as one of the top 10 rehabilitation programs in the country; NYU Langone Orthopedic Hospital, a dedicated inpatient orthopedic hospital with all musculoskeletal specialties ranked top 10 in the country; Hassenfeld Children's Hospital at NYU Langone, a comprehensive pediatric hospital supporting a full array of children's health services; and NYU Langone Hospital—Brooklyn, a full-service teaching hospital and level 1 trauma center located in Sunset Park, Brooklyn. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute–designated cancer center, and NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history.