Revenue Management Specialist - RN - Days

Posted Yesterday
Be an Early Applicant
Medford Center, ME, USA
In-Office
126K-168K Annually
Mid level
Healthtech
The Role
Reviews clinical information for reimbursement, manages third-party payer denials, verifies medical necessity and authorizations, monitors correspondence and reports, and evaluates one- and two-day hospital stays for appropriate patient settings under the 2-Midnight initiative.
Summary Generated by Built In
LocationNew York, New YorkShift:Day (United States of America)Description:Feel the Pride of Revenue Management at Its Best

Behind every patient success story - before every clinical breakthrough - stands the unparalleled team of professionals at New York Presbyterian Hospital. With leading specialists in every field of medicine, the advances pioneered at NewYork-Presbyterian Hospital (NYP) have improved the lives of people everywhere. Uniting the power of two renowned medical centers – NYP/Columbia University Medical Center and NYP/Weill Cornell Medical Center - we deliver the highest level of inpatient, ambulatory and preventative care.


Revenue Management Specialist - RN - Days

Under the supervision of a very supportive and energetic Manager, utilize your medical knowledge to provide concurrent or retrospective clinical information required for reimbursement. Manage denials from third party payers within required timeframes. Focus on reviewing medical necessity based off of authorization from precertification. Monitor all incoming correspondence and end of day reports to insure accuracy and authorizations.  Play an integral part of the hospital wide 2-Midnight Stay initiative. All one and two day stays are reviewed for appropriate setting and converted accordingly.

Preferred Criteria

  • Bachelor’s Degree in Nursing (BSN) 
  • Minimum of 3 years of hospital experience in case management or acute care 
  • Experience with EMR systems or EPIC

Required Criteria 

  • New York State License as a Registered Nurse
  • Minimum of 3 years of clinical experience or denial management experience 

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

__________________

  • 2026 Best Companies in Healthcare, Biotech & Pharma – Glassdoor

  • 2026 Best Place to Work – Glassdoor

  • 2026 America’s Best Large Employers – Forbes

  • 2026 America’s Best-In-State Employers – Forbes

  • 2026 America’s Dream Employers – Forbes

  • 2026 America’s Greatest Workplaces for Culture, Belonging & Community – Newsweek

  • 2026 Best Places to Work in IT - Computerworld

  • 2025 Great Place to Work Certified

  • 2025 Best Employers for Women – Forbes

  • 2025 Companies that Care – People

  • 2025 America’s Greatest Workplaces for Mental Well-Being - Newsweek

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

$126,000-$167,500/Annual


It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.

Skills Required

  • New York State Registered Nurse license
  • Minimum of 3 years of clinical experience or denial management experience
  • Bachelor’s Degree in Nursing
  • Minimum of 3 years of hospital experience in case management or acute care
  • Experience with EMR systems or EPIC
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The Company
HQ: New York, NY
50,000 Employees

Why Work With Us

At NewYork-Presbyterian, we put patients first. It’s the kind of work that requires an unwavering commitment to excellence and a steady spirit of professionalism. And it’s a unique opportunity for you to collaborate with some of the brightest minds in health care, while building on our success as one of the nation’s best hospitals. A career here is

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