Financial Investigator

4 weeks ago


Bronx, New York, United States BronxCare Health System Full time

Job Summary:

We are seeking a skilled Financial Investigator to join our team at BronxCare Health System. As a Financial Investigator, you will be responsible for securing pre-authorizations for medical and ancillary services, communicating with practice managers, clinicians, and staff to ensure that visits are appropriately registered and meet all insurance pre-authorization requirements.

Key Responsibilities:

  • Establish and maintain positive relationships with patients, visitors, and other employees.
  • Interact professionally, courteously, and appropriately with patients, visitors, and other employees.
  • Contribute to and participate in the Performance/Quality Improvement activities of the assigned department.
  • Insure authorization requests are obtained and processed for medical and ancillary services on a timely basis.
  • Respond to pre-authorization, authorization, and pre-certification requests from various points of service areas.

Qualifications:

  • Minimum Two (2) years experience in Hospital/Healthcare in Financial Investigations and/or Insurance Verification and/or Insurance Authorization.
  • Excellent Customer Service Skills.
  • High School or GED.
  • Associates.
  • Basic Computer knowledge.

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