Work ShiftsWork hours: 9:00Am - 5:00PM
Schedule: Monday - Friday
Weekly hours: 35
Duties & ResponsibilitiesThe Coordinating Manager will be the subject matter expert on insurance-related barriers to discharge and will provide enterprise-level technical assistance, and structured support for high-complexity cases. The position is responsible for serving as a liaison between the Revenue Cycle Services Patient Access team, Complex Discharges team and facility Financial Counseling and Social Work teams on issues related to health insurance screening and enrollment for patients as part of the discharge planning process. The primary goal is to help facilitate the removal of insurance-related barriers to discharge.
SUMMARY OF DUTIES AND RESPONSIBILITIES:
- Responsible for serving as a liaison between the Revenue Cycle Services Patient Access team, Complex Discharge team and facility Financial Counseling and Social Work teams on issues related to health insurance screening and enrollment for patients as part of the discharge planning process Review and maintain documentation of relevant application, enrollment and escalation processes
- Work with the Central Office discharge planning team to identify patients awaiting discharge whose insurance application has not been approved and support as needed
- Serve as a point of escalation for application or eligibility-related issues, conduct root cause research, and develop a recommended course of action
- Identify gaps in application and enrollments workflows and develop interventions and guidance to address
- Escalate issues to other entities (e.g. the Local Department of Social Services/Human Resources Administration ("LDSS/HRA"), the State Department of Health ("SDOH") and the New York State of Health ("NYSOH") as needed and track through to resolution
- Support the facilities' financial counseling teams with complex insurance applications and documentations
- Submit complex applications directly to other entities when needed
- Lead insurance applications for patients who have transitioned to post-acute care under vendor contracts and are now eligible for insurance
- Develop and maintain templates, tools and reports to track project progress, drive decision making, and facilitate communication.
- Maintain knowledge of NYC Health + Hospitals' financial counseling and financial assistance policies and procedures
- Conduct and attend all necessary training sessions to effectively perform the day-to-day functions of the position.
- Perform all other duties, as assigned by Director and Discharge Planning team leader
Minimum Qualifications1. Master's Degree from an accredited college or university; and one (1) year of full-time experience in a health care setting; or
2. Bachelor's Degree from an accredited college or university; and two (2) years of full-time experience in a health care setting; or
3. A satisfactory equivalent combination of education, training and/or experience, in which each year of relevant training and/or experience can be substituted for 30 semester credits from an accredited college or university. However, all applicants must at least have a High School diploma or its educational equivalent, approved by a State's Department of Education or a recognized accrediting organization.
Department Preferences- Registration, billing and collections, financial counseling, and/or customer service
- In-depth knowledge of NYSOH Marketplace, LDSS/HRA rules, and Medicaid/Medicare enrollment processes for complex or vulnerable patient populations.
- Understanding of hospital discharge workflows, Alternate Level of Care (ALC) drivers, and insurance requirements for post-acute transitions.
- Proven ability to conduct root-cause analysis on eligibility delays and successfully navigate escalations with external government agencies and vendors.
- Demonstrated skill in liaising and collaborating across facility Social Work, Revenue Cycle, Patient Access, and clinical leadership teams.
- Proficiency with Epic EHR, patient access workflows, and NYC Health + Hospitals financial assistance policies.
BenefitsNYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- Loan Forgiveness Programs for eligible employees
- College tuition discounts and professional development opportunities
- College Savings Program
- Union Benefits for eligible titles
- Multiple employee discounts programs
- Commuter Benefits Programs
If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
