Clerical Asssociate Level III-Provisional Appointment

Lincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient-centered. Comprehensive services are offered in three major primary care areas: Medicine, Pediatrics, and Women's Health in addition to more than eighty (80) specialty services. At Lincoln, the safety and comfort of our patients is our number one priority.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Visit us at www.nyc.gov/html/hhc/lincoln.

Job Description

PURPOSE OF POSITION:

Under the general supervision of the Assistant Director, Clerical III performs advanced-level clerical work related to utilization management functions.

DUTIES AND RESPONSIBILITIES:

• Interacts with insurance companies and external review agencies using various communication modes and provides patient information such as medical chart information, discharge status, and alternate level of care status;
• Types of forms, records, and other documents relating to patient activities;
• Receives insurance coverage notices and related documents and inputs into an electronic database and/or electronic medical health record system; distributes insurance coverage information to appropriate parties;
• Inputs and maintains information related to patient records and discharge status in various electronic databases and electronic medical records systems and prepares and distributes reports, surveys, and/or studies relating to utilization review;
• Compiles and submits required paperwork and patient medical information for requesting expedited reviews and discharge appeals with insurance companies and external review agencies;
• Develops statistics and patient data for inclusion in records, reports, and other documentation from computerized and electronic databases; Reviews reports and other documents for completeness, accuracy, and conformity with established procedures;
• Coordinates with Emergency Room staff to ensure medical rights letters are provided to patients upon admission; documents and communicates findings with appropriate staff; Presents and/or distributes via certified mail to patients and/or caregivers documents related to insurance coverage, discharge status, etc.;
• Prepares charts for on-site and off-site review, facilitates expedited reviews, processes chart requests timely and promptly;
• Interacts with various hospital staff to obtain and/or provide information to update and maintain patient information

Minimum Qualifications
1. A high school diploma or its educational equivalent; and
2. Six (6) months of full-time satisfactory clerical experience and/or experience interacting with the public, such as processing sales; taking, processing, and delivering orders; obtaining and dispensing information; listening to and resolving customers concerns, problems, and complaints; and/or performing related customer service activities.

If you wish to apply for this position, please apply online by clicking the "Apply Now" button or forward your resume, noting the above Job ID #, to:

Lincoln Medical & Mental Health Center
Human Resources Department
234 Eugenio Maria De Hostos Blvd, (East 149th Street),
2nd Floor, Annex
Bronx, NY 10451
Attn: Recruitment Unit

NYC 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
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs