Centralized Revenue Cycle, Melville, NY
Job Description
Collaboratively analyzes, reports on, and provides resolution to work queues. Serves as an interdepartmental liaison for workflow improvements and claim-edit resolutions. Develop and maintain analytical reports and dashboards.
Job Responsibility
• Reviews assigned work queues daily to ensure claims generate in a timely manner.
• Resolves eligibility related pre-claim edits to decrease insurance denials.
• Collaborates with team to identify drivers of volume fluctuations or issues in data quality that would impact reporting (i.e. duplicate records, missing data, etc.)
• Communicates regularly with external teams for workflow improvements and edit resolutions.
• Maintains trends and tracks various measures to identify possible areas for re-education.
• Develops technical and functional specifications based on business requirements and analysis of workflows.
• Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties no mentioned here, but considered related are not essential functions.
Job Qualification
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $58,500-$79,300/year
Salary ranges shown on third-party job sites may not accurately reflect ranges provided by Northwell Health. Candidates should check Northwell Health Careers for accurate information and discuss salary/hourly details and our comprehensive benefits with a recruiter, if selected for an interview.
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Maryam Ahmed
Current position :
Clinical Pharmacy Manager, Postgraduate Year One, Residency Program Director, Plainview Hospital
2021
Pharmacy Supervisor, Postgraduate Year One, Residency Program Coordinator, Plainview Hospital and Syosset Hospital
2017
Clinical Pharmacy Coordinator, Emergency Medicine, Plainview Hospital
2016
Postgraduate Year One, Pharmacy Resident, Plainview Hospital
!!– primary_category=Physician Assistant– light-blue-cg-accordion –!!
Kevin Curo
Current position :
Manager, Advanced Clinical Providers, Lenox Hill Hospital
2012
Supervisor, Physician Assistant, Orthopedic Surgery and Ambulatory Surgery, Lenox Hill Hospital
2010
Physician Assistant, Orthopedic Surgery, Lenox Hill Hospital
Daniel Caruso
Current position :
Director, Operations, Surgery – Trauma – Critical Care, South Shore University Hospital
2020
Senior Manager, Advanced Clinical Providers, Heart Hospital, North Shore University Hospital
2017
Supervisor, Critical Care Specialist, North Shore University Hospital
2016
Specialist, Critical Care, Quality & Education Coordinator, North Shore University Hospital
2013
Specialist, Critical Care, North Shore University Hospital
2009
Physician Assistant, Critical Care Specialist, North Shore University Hospital
2008
Physician Assistant, Cardiovascular and Thoracic Surgery, North Shore University Hospital
Steven M. Alessi
Current position :
Supervisor, Advanced Clinical Providers, Orthopedics, Northwell Health Physician Partners
2019
Senior Physician Assistant, Orthopedics, Northwell Health Physician Partners
2018
Practice Physician Assistant, Orthopedics, Northwell Health Physician Partners
2008
Physician Assistant, Orthopedic Surgery, North Shore University Hospital
!!– primary_category=Quality, Patient Safety and Infection Prevention — light-blue-cg-accordion –!!
Danielle Sargeant
Current position :
Senior Director, Operations, Northwell Health
2019
Director, Surgery and Trauma, Cohen Children’s Medical Center
2016
Trauma Program Manager, Cohen Children’s Medical Center
2015
Coordinator, Trauma and Quality Research, Cohen Children’s Medical Center
Kerry Lin
Current position :
Senior Manager, Data Analytics, Long Island Jewish Medical Center
2020
Manager, Data Analytics, Long Island Jewish Medical Center
2018
Coordinator, Long Island Jewish Medical Center
Andrew Drozd
Current position :
Clinical Simulation Educator, Patient Safety Institute, Center for Learning and Innovation
2011
Assistant Medical Simulation Technician, Patient Safety Institute, Center for Learning and Innovation
2006
Emergency Medical Technician II, Center for Emergency Medical Services
2002
Emergency Medical Technician, Center for Emergency Medical Services
!!– primary_category=Radiology — green-cg-accordion –!!
Deanna Culen
Current position :
Manager, Imaging Services, Plainview Hospital
2019
Lead Radiology Technologist, Long Island Jewish Medical Center
2016
Radiologic Technologist, Long Island Jewish Medical Center
2015
Radiologic Technologist, Cohen Children’s Medical Center
Trina Thomas
Current position :
Director, Imaging Services, Huntington Hospital
2014
Supervisor, CT, Long Island Jewish Medical Center
2008
CT Technologist, Long Island Jewish Medical Center
2007
Radiologic Technologist, Long Island Jewish Medical Center
Lisa La Placa
Current position :
Supervisor, Imaging Services, Radiology, Huntington Hospital
2018
Lead Radiology Technologist, Huntington Hospital
2012
Lead Mammography Technologist, Huntington Hospital
2008
Student Clinical Supervisor, Huntington Hospital
1999
Staff Technologist, Huntington Hospital
!!– primary_category=Rehabilitation Services — green-cg-accordion –!!
Brant Macpherson
Current position :
Manager, Rehabilitation Services, Long Island Jewish Medical Center
2016
Senior Physical Therapist, Long Island Jewish Medical Center
Douglas Griffin
Current position :
Director, Rehabilitation Services, STARS Rehabilitation
2013
Manager, Rehabilitation Services, Infusion, Northwell Health At Home
2007
Supervisor, Rehabilitation Services, STARS Rehabilitation
2005
Supervisor, Physical Therapist, STARS Rehabilitation
2000
Physical Therapist, STARS Rehabilitation
Regina Moller
Current position :
Senior Physical Therapist, Long Island Jewish Medical Center
2015
Staff Physical Therapist, Long Island Jewish Medical Center
2014
Physical Therapist, Syosset Hospital
!!– primary_category=Revenue Cycle — light-blue-cg-accordion –!!
Vanesa Zayas-Dorta
Current position :
Manager, Revenue Cycle, Northwell Health
2019
Supervisor, Account Management, Northwell Health
2018
Analyst, Clinical Practice Plan, Northwell Health
2018
Clinical Practice Plan Representative, Northwell Health
2011
Physician’s A/R Clerk, Northwell Health
Kesha D. Moore
Current position :
Associate Coder, Medical Records, Northern Westchester Hospital
2016
Coding Generalist / Charging Specialist, Northern Westchester Hospital
2013
Business Liaison, Emergency Room, Northern Westchester Hospital
Nakitta Clark
Current position :
IT&S Process Management Specialist, IT – Ambulatory, Northwell Health
2018
Clinical Practice Plan Representative, Northwell Health
2016
Patient Service Assistant II, Northwell Health Physician Partners
2013
Emergency Department Representative, North Shore University Hospital
2011
Transport Aide, North Shore University Hospital
!!– primary_category=Risk Management — light-blue-cg-accordion –!!
Ashley Deverteuil-Persaud
Current position :
Senior Risk Management Coordinator, Risk Management
2018
New Patient Liaison Secretary, Northwell Health Fertility
2017
Administrative Support Associate, Patient Experience Department, Lenox Hill Hospital
2016
Practice Secretarial Associate, Northwell Health Fertility
2014
Practice Billing Associate, Northwell Health Fertility
2012
Inpatient Cashier, North Shore University Hospital
Nicholas K Comerford
Current position :
Supervisor, Claims Management, Risk Management, Northwell Health
2018
Claims Analyst, Risk Management, Northwell Health
Katarina Kuhnle
Current position :
Director of Operations, Risk Management, Northwell Health
2021
Senior Manager, Claims Management, Northwell Health
2017
Manager, Claims Processing, Northwell Health
2015
Supervisor, Claims Management, Northwell Health
2012
Coordinator, Risk Management, Northwell Health
2010
Secretary, Non-Med (CP), Northwell Health
!!– primary_category=Social Services — light-blue-cg-accordion –!!
Lisa Minor
Current position :
Senior Director, Eastern Region Care Coordination, Plainview Hospital and Syosset Hospital
2019
Director, Case Management and Social Work, Plainview Hospital and Syosset Hospital
2013
Assistant Director, Case Management, Plainview Hospital and Syosset Hospital
2008
Utilization Coordinator, Plainview Hospital
2006
Case Manager, Long Island Jewish Medical Center
2004
Home Care Liaison, Northwell Home Care, Plainview Hospital
2002
Home Care Infusion Liaison, Region Care Infusion, Northwell Home Care
2001
Registered Nurse Case Manager, Long Island Jewish Home Care
1988
Assistant Nursing Care Coordination, Medical / Surgical, Long Island Jewish Medical Center
1986
Registered Nurse, Medical / Surgical, Long Island Jewish Medical Center
Nicole Salamone
Current position :
Licensed Clinical Social Worker, South Shore University Hospital
2016
Licensed Master Social Worker, South Shore University Hospital
2016
Social Worker, South Shore University Hospital
2015
Social Work Intern, South Shore University Hospital
Christina Cheripuram
Current position :
Director, Social Work, Long Island Jewish Medical Center
2020
Senior Manager, Social Work, North Shore University Hospital
2017
Living Donor Social Worker, Living Donor Advocate, Northwell Transplant Center
2016
Behavioral Telehealth Care Manager, Northwell Health
2011
Senior Social Worker, North Shore University Hospital
2005
Social Worker, North Shore University Hospital
!!– primary_category=Supply Chain — orange-cg-accordion –!!
Sharon Fairclough
Current position :
Director, Category Management
2017
Senior Manager, Category Management, GPO Operations, Northwell Health
2010
Manager, Procurement Contracts, System Material Management, Northwell Health
2007
Coordinator, Procurement Contracts, System Material Management, Northwell Health
1993
Procurement Representative, System Material Management, Northwell Health
Dawn Wells
Current position :
Assistant Vice President, Supply Chain, Northwell Health
2021
Senior Director, Supply Chain, Northwell Health
2013
Director, Supply Chain, GPO Operations, Northwell Health
2010
Manager, Procurement Customer Service, System Material Management, Northwell Health
2008
Analyst, MMIS System, System Material Management, Northwell Health
2003
Procurement Representative, System Material Management, Northwell Health
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manjunath2021-02-01 13:35:052021-04-13 13:04:43Black History Month: Celebrating being Truly Ourselves
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manjunath2021-01-20 14:48:282022-12-29 16:33:24Northwell Health named one of Glassdoor's best 100 places to work
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2020-11-23 14:10:202021-04-28 17:39:16The power of connection for veterans at Northwell Health
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2020-11-19 00:01:172022-12-29 16:11:48Serving as a leader in the U.S. Marine Corps and at Northwell Health
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