Senior Hospital Care Investigator
4 months ago
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
9:00 A.M - 5:00 P.M
Job Description
PURPOSE OF POSITION
A member of the revenue cycle process, the Senior HCI is responsible for supervising HCIs, and conduct investigations to take the necessary actions to bill and collect for services. Review unpaid claims that have are delinquent after a reasonable period of time and follow through the resolution. Perform billing and collection functions; complete and/or review paper and electronic claims for proper and timely submission to insurance carriers. The Senior HCI is responsible for training, informing, and providing current procedures and guidelines to the HCIs.
AREAS OF RESPONSIBILITIES
Major responsibilities include more complex in-depth account research, re-billing accounts and seeing accounts with pending balances through to resolution
SUMMARY OF DUTIES AND RESPONSIBILITIES
The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to the position within the revenue cycle process.
• Supervise a unit of Hospital Care Investigators responsible for revenue analysis, insurance verification, financial investigation, and other patient accounts' related activities
• Perform data management, exploratory data analysis, claim denials root cause analysis, and report findings to senior management
• Assess revenue metrics to maximize revenue and reduce denials
• Coordinates and monitors day-to-day activities of staff in the unit
• Monitors and reviews billing and collections in the AR Department
• Participate in department meetings
• Explains policy, rules and regulations for guidance of the staff as a case consultant on difficult cases
• Generate reports to monitor productivity and efficiency of the unit
Minimum Qualifications
Six months of service as a Hospital Care Investigator.
If you wish to apply for this position, please apply online by clicking the "Apply Now".
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
-
Senior Hospital Care Investigator
2 weeks ago
New York, United States NYC Health Hospitals Full timeWoodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various locations.At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception....
-
Senior Hospital Care Investigator
2 days ago
New York, United States NYC Health Hospitals Full timeWoodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various locations.At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception....
-
Senior Hospital Care Lead
1 hour ago
New York, New York, United States NYC Health Hospitals Full timeOverviewNYC Health + Hospitals is committed to delivering high-quality care and services without exception. Our mission is to prioritize the needs of our patients, families, and communities.The Senior Hospital Care Investigator plays a critical role in this mission by leading a team of investigators responsible for revenue analysis, insurance verification,...
-
Senior Hospital Revenue Supervisor
3 weeks ago
New York, New York, United States NYC Health Hospitals Full time**Overview of NYC Health Hospitals**NYC Health + Hospitals is a premier healthcare system dedicated to delivering high-quality care services. Our mission is to provide exceptional patient experiences, without exception.As a Senior Hospital Revenue Supervisor at NYC Health + Hospitals, you will play a crucial role in supervising a unit of Hospital Care...
-
Senior Care Therapist
3 weeks ago
New York, New York, United States Senior Care Therapy Full timeAbout Senior Care TherapySenior Care Therapy is a clinician-owned and operated behavioral health company dedicated to providing in-person psychotherapy services to the geriatric population. With a strong presence in NJ, NY, PA, and MD, we strive to build meaningful relationships with our residents and provide quality patient-centered services.Full Time...
-
Senior Claims Investigator
3 weeks ago
New York, New York, United States GREATER NEW YORK MUTUAL INSURANCE COMPANY Full timeJob OverviewThe Greater New York Mutual Insurance Company is seeking a highly skilled and experienced Senior Claims Investigator to join our team. In this role, you will be responsible for investigating premises liability claims, interviewing witnesses, and preparing detailed reports.ResponsibilitiesInvestigate claims promptly and thoroughly, gathering...
-
Hosp Care Investigator
2 weeks ago
New York, United States NYC Health Hospitals Full timeHarlem Hospital Center has been a bedrock of the Harlem community since 1887. The hospital provides a wide range of medical, surgical, diagnostic, therapeutic and family support services to the residents of Central Harlem, West Harlem, Washington Heights and Inwood. Harlem is the largest hospital in the area, capable of treating the most seriously ill....
-
Hosp Care Investigator
2 weeks ago
New York, United States NYC Health Hospitals Full timeNYC 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...
-
Hosp Care Investigator
3 weeks ago
New York, United States NYC Health Hospitals Full timeNYC 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...
-
Senior Financial Crimes Investigator
3 weeks ago
New York, New York, United States CGS Full timeCGS, a pioneering force in government innovation, seeks an experienced Senior Financial Crimes Investigator to join our esteemed team. With a proven track record of driving successful investigations and analysis, you will be responsible for uncovering complex financial crimes and bringing perpetrators to justice.Key Responsibilities:Conduct thorough...
-
Senior Investigative Operations Manager
3 weeks ago
New York, New York, United States New York City, NY Full timeBased in New York City, we are seeking an experienced Senior Investigative Operations Manager to join our team at the Bureau of Fraud Investigation (BFI). As a key member of our organization, you will play a crucial role in overseeing and directing investigations into public assistance fraud and misuse.BFI is responsible for detecting and preventing...
-
Investigator
2 weeks ago
New York, United States Northwell Health Full timeFlexStaff is seeking an Incident Management Investigator to join our client‘s team, a leading organization that provides housing, services and programs for individuals with intellectual and developmental disabilities.This is a full-time, permanent, direct hire position based in Manhattan.Hours are 9-5pm (37.5 work week) this is a non-exempt positionIn this...
-
Senior Care Professional
1 day ago
New York, New York, United States Sunrise Senior Living Full timeCompany Overview:Sunrise Senior Living is a renowned leader in senior care, dedicated to providing exceptional quality of life for seniors and their families. With over 30 years of experience, we have established ourselves as a trusted partner in delivering compassionate and personalized care.Salary:The estimated annual salary for this position ranges from...
-
Hosp Care Investigator
3 weeks ago
New York, United States NYC Health Hospitals Full timeLincoln 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...
-
Senior Consultant
3 weeks ago
New York, United States StoneTurn Full timeAnalyst (Senior Consultant) - Business Intelligence Practice If you seek a fast-paced, people-first firm with a collaborative culture, StoneTurn may be the right place for you. StoneTurn, a global professional services firm, works with law firms, corporations, and government agencies in solving the most complex and consequential business issues....
-
Senior Care Specialist
3 weeks ago
New York, New York, United States Sunrise Senior Living Full timeAbout the RoleWe are seeking a dedicated Senior Care Specialist to join our team at Sunrise Senior Living. As a key member of our care-focused community, you will play a vital role in delivering high-quality care and services to our residents.Job OverviewThis is a unique opportunity to make a meaningful difference in the lives of seniors. Our team is...
-
Senior Patient Safety Manager
2 hours ago
New York, New York, United States Mount Sinai Hospital Full timeAbout the PositionThe Mount Sinai Hospital seeks a highly skilled Senior Patient Safety Manager to oversee the day-to-day operations of the Risk Management and Patient Safety office. This role requires a seasoned professional with a unique blend of clinical expertise, risk management knowledge, and excellent leadership skills.Key Responsibilities- Oversight...
-
Care Manager
3 weeks ago
New York, New York, United States Sunrise Senior Living Full timeSunrise Senior Living has been a pioneer in senior care for over 30 years, dedicated to providing a high-quality life experience for its residents. As a Care Manager, you will play a vital role in delivering exceptional care and services to a consistent group of seniors and their families.About the RoleWe are seeking an experienced and compassionate...
-
AML Investigator Senior
2 weeks ago
New York, United States Disability Solutions Full timeAn AML Senior Investigator is responsible for maintaining certain aspects of the Bank's ML/CFT program and assists in meeting and maintaining BSA/AML compliance requirements of the Bank. Complies with all applicable, federal and state laws, regulations and guidance, including those related to Anti-Money Laundering (i.e. Bank Secrecy Act, USA PATRIOT Act,...
-
Investigator of Corrective Actions
6 hours ago
New York, New York, United States Platinum Home Health Care Full timeJob Title: Investigator of Corrective ActionsWe are seeking a skilled and detail-oriented Investigator of Corrective Actions to join our team at Platinum Home Health Care. This role plays a crucial part in ensuring the quality of home health services by investigating incidents involving home health aides.About the Role:Conduct thorough investigations into...