Senior Hospital Care Investigator

16 hours ago


New York, New York, United States NYC Health Hospitals Full time
Job Summary

We are seeking a highly skilled Senior Hospital Care Investigator to join our team at NYC Health + Hospitals. As a key member of our revenue cycle process, you will be responsible for supervising Hospital Care Investigators and conducting investigations to ensure accurate billing and collection of services.

Key Responsibilities
  • Supervise a unit of Hospital Care Investigators responsible for revenue analysis, insurance verification, financial investigation, and other patient accounts-related activities
  • Perform data management, exploratory data analysis, claim denials root cause analysis, and report findings to senior management
  • Assess revenue metrics to maximize revenue and reduce denials
  • Coordinate and monitor day-to-day activities of staff in the unit
  • Monitor and review billing and collections in the AR Department
  • Participate in department meetings
  • Explain policy, rules, and regulations for guidance of the staff as a case consultant on difficult cases
  • Generate reports to monitor productivity and efficiency of the unit
Requirements
  • Six months of service as a Hospital Care Investigator
What We Offer
  • 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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