Healthcare Financial Analyst

2 weeks ago


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

Company Overview:

NYC Health + Hospitals/Coler is a prominent nursing facility recognized for its commitment to quality care. With a 5-Star CMS Quality Rating, Coler specializes in long-term and subacute care, rehabilitation, and offers a dedicated memory care unit featuring an acclaimed music and memory program. The facility is equipped with a comprehensive rehabilitation therapy program and ample gym space for residents. Additionally, Coler provides full-time physician staff, psychiatry, dental services, and on-site medical clinics.

Position Summary:

The role of the Financial Investigations Specialist involves conducting thorough financial assessments within a healthcare environment. This position requires a detailed examination of payment options for medical services and a review of complex case records to provide informed guidance for payment resolutions.

Key Responsibilities:

  • Conduct financial investigations within the healthcare facility.
  • Explore and analyze payment options for medical services.
  • Review complex case records to ensure accurate financial assessments.
  • Provide expert guidance for resolving payment issues.
  • Perform assigned tasks under direct supervision to ensure compliance and accuracy.

Essential Duties:

  • Review and screen records for new admissions.
  • Coordinate the verification of insurance coverage.
  • Engage with insurance providers for necessary authorizations.
  • Assist in gathering essential documentation for financial processes.
  • Analyze data related to Managed Care providers for financial insights.
  • Maintain ongoing communication with the Medical Director regarding financial matters.

Qualifications:

1. Bachelor's degree from an accredited institution; or
2. Associate's degree along with completion of a medical billing program; or
3. High school diploma with completion of a medical billing program and relevant experience; or
4. High school diploma accompanied by related full-time experience; or
5. Equivalent education and experience with medical billing certification.

Preferred Skills:

Strong analytical skills, adherence to HIPAA regulations, and proficiency in Microsoft Office are essential for this role.

Benefits:

  • Comprehensive health benefits for employees working 20+ hours per week.
  • Retirement savings and pension plans.
  • Loan forgiveness programs.
  • Paid holidays and vacation time.
  • Employee discounts and tuition assistance opportunities.


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