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Hospital Care Investigator (000494)

NYC Health + Hospitals / Harlem
New York, NY Full Time
POSTED ON 1/19/2025
AVAILABLE BEFORE 4/19/2025

Details

Client Name

NYC Health Hospitals / Harlem

Job Type

Travel

Offering

Non-Clinical

Profession

Non-Clinical

Specialty

Healthcare Administrator

Job ID

30003984

Job Title

Hospital Care Investigator (000494)

Weekly Pay

1187.47

Shift Details

Shift

Day - 8x5 - 09AM

Scheduled Hours

Job Order Details

Start Date

01 / 27 / 2025

End Date

03 / 29 / 2025

Duration

9 Week(s)

Job Description

Job Title : Hospital Care Investigator

Job Specialty : Revenue Cycle

Job Duration : 8 months

Shift : 9 : 00 AM-5 : 00 PM, 5x7 Hr

Guaranteed Hours : 35 hours per week

Experience : Minimum years of experience not specified

Job Description :

  • Responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers.
  • Post all types of payments and update patient accounting systems.
  • Perform related functions in support of Patient Financial Services operations and other duties as assigned.
  • Complete both paper and electronic claims in a timely manner.
  • Effectively use computer systems to document patient information clearly and completely.
  • Interact with other departments to complete billing on accounts.
  • Process rejections, denials, and other correspondence in a timely manner.
  • Handle pre-authorizations, document responses in the system, and follow up as needed.
  • Audit patient accounts for accuracy and apply adjustments as needed.
  • Provide billing customer service and ensure that conversations are documented accurately.
  • Process statements and enter information into the database.
  • Review past due bills and follow up on past due accounts.
  • Generate Patient Balance Aging Report and Insurance Aging Report and follow up with patients and insurances accordingly.
  • Arrange payment schedules with patients.
  • Refer accounts requiring escalation to the Supervisor in a timely manner.
  • Attend all necessary training sessions to effectively perform day-to-day functions.
  • Perform all other duties as assigned by the Manager or Supervisor.

Education :

  • Baccalaureate Degree from an accredited college or university; or
  • High School diploma or its educational equivalent approved by the State Department of Education, with four years of full-time experience in interviewing, investigation, or related field, such as credit and collection follow-up or bookkeeping; or
  • Combination of education and experience equivalent to the above.
  • Languages :

  • English (Speak, Read, Write)
  • Spanish (Speak, Read, Write)
  • French (Speak, Read, Write)
  • Job Category : Non-Clinical

    Client Details

    Address

    506 Lenox Ave

    City

    New York City

    State

    Zip Code

    10037

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    Salary : $1,187

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