Hosp Care Investigator
4 days 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.
Duties & Responsibilities
SUMMARY OF DUTIES AND RESPONSIBILITIES:
Purpose of Position: Under direct supervision, conducts investigations in a health care setting to determine the eligibility of applicants for medical assistance payment programs or the ability of patients and their legally responsible relatives to pay for hospital or health care charges and takes the necessary actions to bill and collect for these services; explores alternative sources for payment for health care setting services rendered; codes, verifies and modifies demographic and insurance data obtained from source documents and enters such data into a computerized system; performs billings and collections functions in order to obtain maximization of health care setting's revenue; all personnel perform related work.
Examples of Typical Tasks:
1. Informs patient of health care setting rates; performs in-depth interviews with patients, families, relatives and friends in an office setting or the health care setting, during field investigations, and/or by telephone to determine patients' and/or legally responsible relatives' ability to pay for services rendered.
2. Contacts outside agencies, organizations, insurance carriers and employers to obtain necessary information about potential sources of revenue.
3. Acts as a liaison with social services and home care agencies.
4. Refers patients to various health care setting departments and outside agencies, such as Medicaid, New York State Unemployment Insurance, Social Security and Public Assistance for possible benefits.
5. Facilities processing of patients' applications for third-party benefits, including but not limited to Medicaid and Medicare.
6. Reviews and abstracts Medical charts to obtain pertinent information for accurately coding and completing third- party billing forms, indicating treatment given, discharge diagnoses and overall patient information for computerization purposes.
7. Reviews patient account records to ensure patients are properly billed; verifies and corrects patient bills and codes information for computerized system.
8. Verifies accuracy of patient information stored in computer and codes changes and modifications, as necessary.
9. Responds to complex inquiries from patients and third-party payers and resolves disputes concerning bills submitted for payment.
10. Follows-up on collections to ensure maximization of revenue.
Minimum Qualifications
Qualification Requirements:
1. A baccalaureate degree from an accredited college or university; or
2. An Associate's degree from an accredited college or university; and completion of an accredited certificate program in medical billing; or
3. A four-year high school diploma or its educational equivalent; and completion of an accredited certificate program in medical billing; and two (2) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping, or as a customer service representative providing comprehensive customer service entailing the dispensing of information or listening to and resolving customer's concerns, problems and complaints or troubleshooting; or
4. A four-year high school diploma or its educational equivalent; and four (4) years of full-time experience, as described in #3 above, at least two years of which must have been in interviewing, investigations, or a related field such as credit and collection follow-up or bookkeeping; or
5. Education and/or experience which is equivalent to (1), (2), (3) or (4) above. College education may be substituted for experience on the basis that thirty (30) semester credits are equivalent to one (1) year of experience and candidates must have completed an accredited certificate program in medical billing or have at least two years of full-time experience in interviewing, investigations, or a related field such as credit and collection follow-up or bookkeeping. In addition, all candidates must have at least a four-year high school diploma or its educational equivalent.
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
Vacancy Control Board Number
VCB#HAR-06062024-0516
-
Hosp Care Investigator
1 month 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
4 days 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
1 month 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
1 month 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
1 month 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...
-
HR Investigator
2 weeks ago
New York, New York, United States Platinum Home Health Care Full timeJob Title: HR InvestigatorAbout Us: Platinum Home Health Care is a leading provider of home healthcare services.Job Summary: We are seeking an experienced HR Investigator to join our team. The successful candidate will be responsible for conducting thorough investigations into incidents involving home health aides, ensuring a comprehensive understanding of...
-
Investigator of Corrective Actions
3 weeks 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...
-
Senior Hospital Care Investigator
2 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 Hospital Care Investigator
1 month 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
3 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
4 months 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....
-
Hospital Care Investigator
2 weeks ago
New York, United States Mindlance Full timeJob Title: Hospital Care InvestigatorLocation: New York, NYSchedule: 40 Hours in a week Monday to FridayJob DescriptionA member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems....
-
Hospital Care Investigator
5 hours ago
New York, United States Mindlance Full timeJob Title : Hospital Care InvestigatorDuration : 3 Months Assignment (Possibility of extension)Location : Manhattan, NY 10037Schedule : Monday to Friday, 9:00 AM-5:00 PM Duties:A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all...
-
Hospital Care Investigator
5 days ago
New York, United States Pride Health Full timeHello Job Seekers,Hope you are doing well.I am Mohit Saini from Pride health and hiring for the below mentioned roles, Please let me know if you are available or looking for a job change. Please refer your friends/colleague if you are not looking for this opportunity.Job Title: Hospital Care InvestigatorLocation – New York 10037Shift- Mon-Fri, 9 AM to 5...
-
FINANCIAL INVESTIGATOR
2 days ago
New York, United States Jamaica Hospital Full timeJamaica Hospital Medical Center is a 404-bed hospital and has served the Jamaica, Queens community since 1891. Regarded as a leading hospital in Queens, New York, we offer a wide variety of patient-centered, expert care to our community. We have also been recognized by many renowned healthcare organizations as leaders in overall quality care and patient...
-
Nurse Investigator
3 weeks ago
New York, New York, United States NYU Langone Full timeAbout Our TeamWe are a dynamic team of professionals at NYU Langone Health, committed to advancing medical knowledge and improving patient care through clinical research. Our team is comprised of experienced clinicians, researchers, and support staff who work together to design, implement, and analyze studies.We are seeking a talented Nurse Investigator to...
-
Investigator - New York, NY
4 days ago
New York, United States MetroPlus Full timeEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...
-
HR Corrective Action Team Investigator
6 days ago
New York, United States Platinum Home Health Care Full timeJob DescriptionJob DescriptionPOSITION SUMMARY:The Corrective Action Team Investigator plays a crucial role in maintaining the quality of home health services by investigating incidents involving home health aides. This role involves assessing the validity of incidents, conducting thorough investigations, and recommending appropriate corrective actions,...
-
Senior Hospital Care Investigator
10 hours ago
New York, New York, United States NYC Health Hospitals Full timeCompany Overview:">NYC Health Hospitals is a leading healthcare institution, renowned for its commitment to delivering high-quality patient care. Established in 1736, the hospital has a rich history of innovation and excellence, serving as a major referral center for complex cases.">Job Description:">">As a Senior Hospital Care Investigator, you will play a...
-
Healthcare Services Investigator
4 weeks ago
New York, New York, United States NYC Health Hospitals Full timeAbout the RoleAs a Healthcare Services Investigator, you will be responsible for conducting thorough investigations to determine patients' and/or legally responsible relatives' ability to pay for healthcare services. This involves gathering accurate information and ensuring that patients receive the necessary support and benefits.About the Job:This is a...