We have other current jobs related to this field that you can find below
-
Hospital Care Investigator
1 month ago
New York, United States NYC Health Hospitals Full timeElmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation...
-
Hospital Care Investigator
1 week ago
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...
-
Hospital Care Investigator
3 months ago
New York, United States ATRIA Consulting Full timeMajor NYC Hospital Corporation is seeking a detail-oriented Hospital Care Investigator responsible for correcting claim edits, preparing and completing claims, posting payments, and updating patient account systems throughout the revenue cycle process. Responsibilities include: Complete both paper and electronic claims Document patient information in the...
-
Hospital Care Investigator
1 month ago
New York, United States Eateam Full timeA 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. They will perform related functions in support of the Patient Financial Services operations and other duties, as...
-
Hosp Care Investigator
3 months ago
New York, United States NYC Health Hospitals Full timeNYC Health + Hospitals/Coler is an 815-bed nursing facility with a 5-Star CMS Quality Rating located on Roosevelt Island, nestled between Manhattan and Queens. Coler offers long term and subacute care, rehabilitation, and a dedicated memory care unit, comprised of 150 beds featuring an acclaimed music and memory program. The facility features a robust...
-
Hosp 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....
-
Investigator
4 weeks ago
New York, United States New York County Defender Service Full timeNew York County Defender Services is looking for an investigator. Investigators are responsible forassisting all NYCDS attorneys in compiling a defense based upon information gathered through fieldwork. Using their investigatory skills to aid the superior legal representation of our clients and assist in helping NYCDS meet all of its contractual obligations...
-
Investigator
3 months 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, 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...
-
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...
-
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...
-
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...
-
Investigator 1
1 month ago
New York, New York, United States New York State Civil Service Full timeNY HELP No Agency Financial Services, Department of Title Investigator 1 Occupational Category Other Professional Careers Salary Grade NS Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $84156 to $106454 Annually Employment Type Full-Time Appointment Type Permanent Jurisdictional Class Exempt Class Travel Percentage 50%...
-
HR Corrective Action Team Investigator
3 months 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,...
-
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...
-
Experienced Background Investigator
2 months ago
New York, United States Constellis Full timeJOB SUMMARYThe Background Investigator will 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 education...
-
Hospital Security Personnel
16 hours ago
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...
-
HR Investigations and Discipline Associate
3 months ago
New York, United States Neighborhood Association Full timeJob DescriptionJob DescriptionReports to: Human Resources CounselFLSA Status: ExemptSummary:The HR Investigations and Discipline Associate will assist with the management of workplace investigations, records, and policy/program development. The selected candidate will provide guidance and training to NAICA staff at all levels on labor relations, conduct, and...
-
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...
-
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...
-
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...
![NYC Health Hospitals](https://media.trabajo.org/img/noimg.jpg)
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.
Work Shifts
TOUR 2 - 9:00 A.M - 5:00 P.M
SUMMARY OF DUTIES AND RESPONSIBILITIES
- Completes notification, verification, and authorization for scheduled and non-scheduled visits, as assigned.
- Contacts insurance payers to secure authorizations for required services, verifies coverage and benefits.
- Coordinates with Case Management to ensure extended authorizations are secure.
- Communicates with physician offices regarding pre-certification requirements.
- Communicates with patients to obtain updated insurance information, as needed.
- Utilize insurance websites/portals to verify insurance coverage and obtains authorizations.
- Documents patient information clearly and completely in the Health Information System.
- Scans patient ID, insurance card(s), referral forms (if applicable) and consent forms obtained from the patient into document imaging system.
- Responsible for screening uninsured or under-insured outpatients to identify insurance coverage or enrollment eligibility into NYC Care, H+H Options, HRA and NYSOH Medicaid applications.
- Discusses Patient Copays, deductibles, assess and process patient payments by credit/debit card or refer patient to cashier for cash payments.
- Assists Pts with MyChart enrollments when needed.
- Interacts with other departments to financially secure accounts.
- Refers accounts requiring escalation to Supervisor in a timely manner.
- Attends all necessary training sessions and huddles to effectively perform the day-to-day functions of the position.
- Performs all other duties as assigned by the Patient Access Manager or Supervisors.
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.
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