SENIOR HOSPITAL CARE INVESTIGATOR

2 weeks ago

NY United States NYC Health Hospitals Full time
NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

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.

Work Shifts

8 AM - 4 PM

Job Description
• Ensures timely billing and follow-up of accounts by HCIs under Sr. HCI supervision.
• Weekly monitoring of AR Workques to ensure adherence to follow-up aging standards set by Department/HHC, account balance, reconciliation process, credit balance review, and secondary payer billing follow-up. Ensures staff's timely processing of carrier denials, appeals, and referrals to UM/medical records.
• Follows up on instructions provided to HCIs.
• Scans all documentation timely to allow viewing to other facility users.
• Coordination of periodic management designated unit projects.
• Under supervision of management, provides employee counseling, in accordance with HHC 20- 10 corrective action process without being prompted to.
• Provides ongoing support by evaluating (under management supervision). advising, training, and assisting staff in meeting departmental goals, in accordance with departmental policy/procedure.
• Ensures staff processes carrier denials/appeals within the required timeframe in order to secure revenue.
• Prepares staff evaluations within the required time, addresses staff's Time and Leave and poor job performance issues.
• Demonstrates knowledge of policies and procedures, as outlined in the requirements of the departmental manual, corporate guidelines, or guidelines of other agencies.
• Meet all compliance standards/requirements such as annual physical assessment, Multi-Star training; Right to Know; Fire Drill participation etc.
• Responsible for wearing professional attire as well as during offsite work when conducting business on behalf of New York City Health+ Hospitals.
• Exhibit flexibility within New York Health Hospitals as it pertains to work assignment, work place, site designation and Tour of Duty.
• Maintains confidentiality of patient and hospital records; uses discretion when discussing patient and hospital matters.
• Addresses patients, visitors, and co-workers in a courteous and respectful manner.
• Wears required identification while on duty.
• Follows corporate and hospital regulations, policies and procedures.
• Promotes a positive and pleasant attitude conducive to the workplace, which enhances and furthers the Mission, Vision and Value statements; adheres to the Vision/Mission/and Value statement of the organization in all endeavors.
• Operates equipment and performs job-related duties in a safe manner.
• Adhere to New York City Health+ Hospitals guiding principles.

Minimum Qualifications

Six months of service as a Hospital Care Investigator.

In addition, you can submit your resume to METCareers@nychhc.org with the Job Title and Job ID # of the job posting that you applied to in the subject line of the email.

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

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