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Hospital Care Investigator
4 months ago
**About NYC Health + Hospitals**:
Queens Hospital Center is making good on its promise to the people of southeastern and central Queens to maximize both patient convenience and positive clinical outcomes. Residents of Queens can count on the delivery of quality medical care right in their own borough. In 2002 the hospital opened a state-of-the-art, 261-bed facility that includes the Queens Cancer Center, the first comprehensive cancer treatment center in the borough.
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**:
4:00 pm-12:00 am
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 healthcare setting departments and outside agencies, such as Medicaid,
New York State Unemployment Insurance, Social Security, and Public Assistance for possible benefits.
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 a computerized system.
8. Verifies accuracy of patient information stored in the computer and codes changes and modifications, as
necessary.
9. Respond to complex inquiries from patients and third-party payers and resolve disputes concerning
bills submitted for payment.
10. Follow up on collections to ensure maximization of revenue.
**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 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
fields 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
at least two years of full-time experience in interviewing, investigations, or a related field such as credit and
diploma or its educational equivalent.
**How To Apply**:
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
