We have other current jobs related to this field that you can find below
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Hospital Care Investigator
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Hospital Care Investigator
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New York, United States NYC Health Hospitals Full timeSince 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...
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Hospital Care Investigator
3 months ago
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Hospital Care Investigator
1 month ago
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Hosp Care Investigator
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Hosp Care Investigator
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Investigator
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Investigator
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New York, United States Ethos Risk Services Full timeJob DescriptionJob DescriptionEthos Risk Services is continuing to expand our team of Private Field Surveillance Investigators!We are looking for Experienced Licensed Investigators in NY, NJ, and Pennsylvania to investigate fraud and conduct covert surveillance in the field (from your vehicle).Ethos Risk is one of the largest and most respected fraud...
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Investigator
1 month ago
New York, United States Ethos Risk Services Full timeJob DescriptionJob DescriptionEthos Risk Services is continuing to expand our team of Private Field Surveillance Investigators!We are looking for Experienced Licensed Investigators in NY and NJ to investigate fraud and conduct covert surveillance in the field (from your vehicle).Ethos Risk is one of the largest and most respected fraud investigations...
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Crypto Investigator
3 months ago
New York, New York, United States Merkle Science Full timeAbout Merkle ScienceMerkle Science provides blockchain transaction monitoring and intelligence solutions for web3 companies, digital asset service providers, financial institutions, law enforcement and government agencies to detect, investigate, and prevent illicit use of cryptocurrencies. Our vision is to make cryptocurrencies safe and provide...
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Crypto Investigator
3 months ago
New York, United States Merkle Science Full time⚡️ About Merkle ScienceMerkle Science provides blockchain transaction monitoring and intelligence solutions for web3 companies, digital asset service providers, financial institutions, law enforcement and government agencies to detect, investigate, and prevent illicit use of cryptocurrencies. Our vision is to make cryptocurrencies safe and provide...
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Investigator 1
1 month ago
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HR Corrective Action Team Investigator
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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,...
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Employee Field Investigator
2 months ago
New York, New York, United States Constellis Full timePOSITION: Background Investigator RESPONSIBILITIES:Conduct federal background investigations and prepare reports of investigations in compliance with Federal Investigative Standards, all laws, and other required federal agency regulations. Work cases throughout the geographic area of responsibility and travel to various places of employment, residence and...
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Experienced Background Investigator
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Hospital Security Personnel
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New York, New York, United States York Hospital Full timeAbout Us: At York Hospital, we pride ourselves on being more than just a healthcare facility. Our dedicated team of professionals, including providers, clinicians, and support staff, is committed to delivering exceptional care across our hospital, community sites, and physician practices in Southern Maine and the NH seacoast. Our mission is to positively...
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HR Investigations and Discipline Associate
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Identification Investigator
4 weeks ago
New York, United States City of New York Full timeJob Description The Office of Chief Medical Examiner investigates cases of persons who die within New York City from criminal violence, by accident, by suicide, suddenly when in apparent health, when unattended by a physician, in a correctional facility or in any suspicious or unusual manner or where an application is made pursuant to law for a permit to...
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Sub-Investigator (Nurse Practitioner)
2 months ago
New York, United States DM Clinical Research Full timeJob DescriptionJob DescriptionSub-Investigator (Nurse Practitioner) The Sub-Investigator is accountable and responsible for ensuring adherence to protocol requirements, protecting the rights and welfare of subjects, assuring the integrity of subject generated data and directing the conduct of research according to federal and state regulations and...
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Sub-Investigator (Nurse Practitioner)
4 weeks ago
New York, United States DM Clinical Research Full timeJob DescriptionJob DescriptionSub-Investigator (Nurse Practitioner) The Sub-Investigator is accountable and responsible for ensuring adherence to protocol requirements, protecting the rights and welfare of subjects, assuring the integrity of subject generated data and directing the conduct of research according to federal and state regulations and...
Hospital Care Investigator
3 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.
Job Description
MAJOR RESPONSIBILITIES:
1. Verification of insurance eligibility and benefits for all patients requesting services at NYC H+H Metropolitan.
2. Conduct comprehensive System Checks for the uninsured population and/or when no insurance has been identified. This also includes telephone interviews with patients when all other tools and/or options has been exhausted.
3. Submit authorization request and financially clear all procedures and/or clinic visits that populate on a Referral Workqueue for authorization.
4. Submit online authorization request to Evicore\lnsurance Companies for patients scheduled for Imaging Services.
5. Communicate any issues that may arise after the request for authorization has been submitted with the Ordering Provider and Attending via e-mail. This will include request for additional notes, denials, and any other correspondence received from the initial request.
6. Facilitate Public Health Insurance screening and enrollment via the NY State of Health for the uninsured populations requesting Imaging Services.
7. Accurately update and revise Demographic, Biographic, and Insurance information in EPIC.
8. Inform patients or their representatives via mail and/or telephone of their scheduled appointment date, time, and location.
9. Perform customer service and/or billing inquires for patients presenting with account issues, billing issues, etc.
10. Conducts patient interviews and/or pre-screening process to obtain identifying/qualifying Demographic, Biographic and Insurance information to assist with completing the New Patient Registration process.
11. Demonstrate the ability to be flexible, organized, and function efficiently in a fast paced environment.
12. Follow and adhere to all steps in the Advanced Imaging workflow.
13. Other assignments and special projects as deemed necessary and or appropriate by the Department.
Minimum Qualifications
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 a certificate program in medical
billing; or
3. A four-year high school diploma or its educational equivalent; and completion of a 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; 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. However,
all candidates must have at least a four-year high school diploma or its educational equivalent.
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
