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NewYork-Presbyterian

New York academic health system

Revenue Management Specialist RN

Full-TimeUpdated on 10/24/2026Deadline 10/31/26
$126k - $167.5k/yr
Mid
Bachelor's
New York, NY, USA
In PersonAll roles require on-site presence (variable by role); employees should live within a commutable distance to NYP.
Medical, Clinical & VeterinaryClinical Support & Patient Administration

About the job

Requirements
  • New York State license as a Registered Nurse.
  • At least 3 years of clinical experience or denial management experience.
Responsibilities
  • Provide concurrent or retrospective clinical information required for reimbursement.
  • Manage denials from third-party payers within required timeframes.
  • Review medical necessity based on precertification authorization.
  • Monitor incoming correspondence and end-of-day reports to ensure accuracy and authorizations.
  • Review all one- and two-day stays for appropriate setting and convert them accordingly as part of the hospital-wide 2-Midnight Stay initiative.
Desired Qualifications
  • Bachelor’s degree in Nursing (BSN).
  • At least 3 years of hospital experience in case management or acute care.
  • Experience with electronic medical record systems or EPIC.

About the company

NewYork-Presbyterian is an academic health system serving New York City and surrounding communities. The system provides hospital, specialty, emergency, outpatient, research, and medical education services in affiliation with major medical schools. It serves patients, families, clinicians, students, researchers, and communities across New York. Its operating model centers on academic medicine integrated with hospitals, physician teams, research programs, technology, facilities, and centralized operations. Teams work across nursing, physicians, allied health, research, education, technology, facilities, and patient access. Teams support coordinated daily delivery.

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