Senior Hospital Care Investigator

2 weeks ago


New York, United States NYC Health Hospitals Full time
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 general supervision, supervisions a unit conducting investigations in hospitals to determine eligibility of applicants for medical assistance at public expense, a unit reviewing applications or conducting investigations of non-hospitalized and noninstitutionalized applicants for medical assistance, or a unit of Hospital Care Investigators engaged in other related activity; performs related work.

Summary of Duties and Responsibilities:

Provide high quality, compassionate, cost effective care consistent with our mission to patients regardless of race, color, religion or ability to pay-while obtaining insurance and or financial information from patients and or representatives to determine patient's obligation to the hospital, reports directly to Senior Hospital Investigator.
1. Conducts investigations to determine the ability of patients and their legally responsible relatives to pay hospital charges.
2. Performs billing and collection functions in order to maximize revenue.
3. Obtains Authorizations for Inpatient Admissions.
4. Verifies/bills all available insurances.
5. Inputs data into the Epic system and ensures its accuracy.
6. Contacts other agencies to obtain or verify relevant information.
7. Documents the account appropriately.
8. Acts as a liaison to other departments within the facility.
9. Follows up accounts processed by ED HCI.
10. Follows up accounts processed by ED HCI.

Minimum Qualifications

Six months of service as a Hospital Care Investigator.

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

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