2+ years of relevant experience in healthcare settings
Proficient in at least one hospital electronic medical record system and Microsoft Office
Knowledge of medical terminology
Familiarity with government and commercial payer requirements
Experience in financial counseling
Strong logical thinking and data analysis skills
Responsibilities
Obtain prior authorization for outpatient medications for cardiac patients
Document clinical data and information in the electronic medical record (Epic)
Monitor pharmacy and hospital claim data for accuracy
Identify and discuss critical reimbursement issues with patients
Refer patients to appropriate agencies for financial assistance
Collaborate with Finance and Billing to resolve financial issues
Participate in training and competency activities
Benefits
Competitive base pay with recognition for experience and education
Opportunities for personal and professional growth
Dynamic work environment that values diversity
On-site presence required, fostering team collaboration
No reimbursement for travel expenses, emphasizing local talent
Full Job Description
Location New York, New York Shift: Day Flex (United States of America) Description:
Shape the Future of Pharmacy: Pharmacy Support Specialist - emphasis on financial counseling
In this role, you will work with a team to obtain prior authorization for outpatient medication treatments for patients with cardiac disorders. Expectations include providing documentation and clinical data required by the patient's third-party payer; accurately and completely documenting all information into the electronic medical record (Epic); monitor pharmacy and hospital claim data; identify critical reimbursement issues and discuss financial risk with the patients; refer patients to appropriate agency when financial issues are identified, work with Finance and Billing to resolve issues in an expedient and initiative-taking manner. Participates in training and continued competency activities and performs other job-related duties as assigned.
Preferred Criteria: • Medical field experience • 2+ years of relative professional experience working in a hospital, clinic, physician office, payer business office, case management or social work departments • Proficient in at least (1) hospital electronic medical record systems and Microsoft Office (Outlook, Word, Excel, and Access) • Knowledge of medical terminology • Knowledge of government and commercial payer requirements to ensure accurate and compliant charging and billing of medications.
. Financial counseling experience
Required Criteria: • Associate's degree or equivalent job experience • Demonstrated expertise in logical thinking, data preparation, and analysis • Excellent written and oral communication skills
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.
Salary Range:
$66,300-$103,000/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.
About New York Presbyterian Hospital
NewYork-Presbyterian Hospital is a nonprofit academic medical center located in New York City. The hospital is affiliated with two Ivy League medical schools, Columbia University's College of Physicians and Surgeons and Weill Cornell Medical College. NewYork-Presbyterian Hospital provides a wide range of medical services, including cancer care, cardiology, neurology, orthopedics, and pediatrics. The hospital was formed in 1998 with the merger of two hospitals, New York Hospital and Presbyterian Hospital. Today, NewYork-Presbyterian Hospital is one of the largest hospitals in the United States and is consistently ranked as one of the best hospitals in the country.
