Medical Claims Investigator

3 days ago


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

Job Summary

We are seeking a highly skilled Medical Claims Investigator to join our team at NYC Health + Hospitals. As a key member of the Revenue Cycle Services team, you will play a critical role in ensuring the accuracy and timeliness of medical claims processing.

About Us

NYC Health + Hospitals is one of the largest public health systems in the United States, serving over 1 million patients annually. Our mission is to provide high-quality healthcare services, without exception, to all New Yorkers.

Responsibilities

  • Review and investigate accounts to identify discrepancies and errors.
  • Correct claim edits and prepare claims for submission to payers.
  • Follow up with insurance payers to resolve outstanding claims.
  • Perform related functions in support of Patient Financial Services operations.

Requirements

To be successful as a Medical Claims Investigator, you must have:

  • A minimum of two years of full-time experience in interviewing, investigation, or a related field.
  • Knowledge of medical billing and coding principles.
  • Excellent analytical and problem-solving skills.

Benefits

NYC Health + Hospitals offers a competitive salary range of $60,000 - $80,000 per year, depending on experience. We also offer a comprehensive benefits package, including paid time off, retirement savings, and pension plans.



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