Demo

Hospital Care Investigator

Sher Tech Solution
New York, NY Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 4/21/2025

Job description

Job title: Hospital Care Investigator
Location: 506 Lenox Avenue, NY, 10037
Duration: 13 weeks (Extendable)
Pay rate: $25 - $30/h
Shift: Mon - Fri (9:00 am - 5:00 pm)

Duties

  • Conduct investigations into various matters such as fraud, misconduct, or other violations
  • Utilize surveillance techniques to gather information and evidence
  • Collect and analyze research data to support investigations
  • Prepare detailed and accurate reports documenting findings
  • Collaborate with law enforcement agencies as needed
  • Stay updated on industry trends and best practices in investigation techniques

SKills:

  • Complete both paper and electronic claims, in a timely manner.
  • Effectively use computer systems Document patient information clearly and completely in systems. Interact with other departments to complete billing on accounts.
  • Process rejections, denials, and other correspondence in a timely manner.
  • Process pre authorizations, documenting responses in the system and following up as needed Audit patient accounts for accuracy.. Apply adjustments as needed.
  • Provide billing costumer service and ensure that conversations are documented accurately.
  • Processing statements and entering information into database; and reviewing past due bills and following up on past due accounts.
  • Generate Patient Balance Aging report and Insurance Aging report and following with patients and insurances accordingly.
  • Arrange payment schedules with patients. Refer accounts requiring escalation to Supervisor in a timely manner.
  • Attend all necessary training sessions to effectively perform the day-to-day functions of the position Perform all other duties, as assigned by the Manager or Supervisor.

Languages:
English( Speak, Read, Write )
( Speak, Read, Write )
French( Speak, Read, Write )

Job Type: Contract

Pay: $25.00 - $30.00 per hour

Expected hours: 40 per week

Schedule:

  • 8 hour shift
  • Day shift

Education:

  • High school or equivalent (Required)

Experience:

  • Hospital Care investigator: 2 years (Required)

Language:

  • Bilingual (Required)

Work Location: In person

Salary : $25 - $30

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