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Now more than ever.

Get back to what you need and love to do.
The possibilities are endless...
 
Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.
 
If this describes you then let’s talk!
 
HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Regular Full time

Work Shift

Compensation Range

The base pay scale for this position is $26.65 - $40.87. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

What you will be doing

In this role you will provide comprehensive administrative and operational support to Dr. Melody Hrubes’ practice, with principal responsibilities including but not limited to: 

• Serve as liaison between the entry point of a Workers' Compensation claimant and all pertinent HSS services involved.  

• Serve as liaison with Workers' Compensation Insurance Companies and specialty providers to ensure a seamless transition of information, authorizations, and any other identified documents.  

• Gather all documentation from visits and submit to claims' adjusters and nurse case managers as required.  

• Verify accidents with claimants  

• Investigate and process workers' compensation claims 

• Create and manage the full cycle of workers' compensation claims, including intake, investigation, documentation, and resolution. 

• Stay up to date on federal and state workers' compensation regulations to ensure compliance in all aspects of claims management and reporting. 

• Obtain authorizations for services, document approvals within the Electronic Medical Record, and coordinate and schedule approved services.  

• Provide case coordination and oversight to streamline and expedite the provision of medical services to maintain good relationships with insurance carriers and HSS.  

• Facilitate all adjuster and nurse case management needs to ensure recurrent referrals.  

• Ensure needs of patients are being met and that quality customer experiences and outcomes are being delivered.  

• Provide education and support to providers and providers' staff to ensure proper pre-service, documentation, and authorizations processes are followed.  

• Compile and distribute reports as requested.  

• Establish and maintain case files, logs and indexes.  

• Monitor claimants’ case histories, including any previous claims  

 

Competencies / Skills: 

• Experience with Epic Medical Records System required; strong computer skills required as well 

• Excellent interpersonal communication to maintain positive and productive working relationships  

• Experience working with insurance carriers, claims adjusters, and legal professionals 

• Experience dealing with claim investigations, settlements, litigation, and denials 

• Demonstrated knowledge of NYS Worker’s Compensation Law 

• Demonstrated ability to successfully manage multiple tasks simultaneously demonstrating flexibility and creativity.  

• Superior written and oral communication skills 

• Exceptional customer service skills 

• Ability to follow through with tasks to completion 

• Strong organizational and problem-solving skills 

• Ability to multitask in a fast-paced environment 

• Ability to effectively and accurately follow directions or instructions 

• Ability to work collaboratively as part of a team; offers to help coworkers when needed 

• Detail-oriented 

• Ability to escalate issues appropriately 

• Consistently displays a positive attitude towards one’s work and work environment 

• Knowledge of healthcare and health insurance, required 

• Familiarity with medical terminology and general office protocol required.  

• Ability to type 45-60 words per minute and exceptional organizational strengths is required.   

• Must be proficient in Microsoft Word, Excel, and PowerPoint. 

 

Qualifications 

• To qualify you must have a High School Diploma or equivalent (Associates Degree preferred) and at least two years of related MD office/healthcare experience 

• Must have at least two (2) Worker's Compensation experience (State workers compensation experience required; State and Federal preferred)  

• Relevant certifications (e.g., Certified Workers' Compensation Professional - CWCP) are preferred 

 

Non-Discrimination Policy
Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.