Job Description

Hospital Care Investigator

JOB-10043311

Anticipated Start Date

March 10, 2025

Location

New York, NY

Type of Employment

Contract Hire

Employer Info

Our client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Their vision is to be a fully integrated health system that enables New Yorkers to live their healthiest lives. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits. In fact, over 30% of our candidates have converted to full time positions at our client.

Job Summary

We are looking for individual to join our client’s team as Hospital Care Investigator. You will be part of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. They will perform related functions in support of the Patient Financial Services operations and other duties, as assigned. The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to the position within the revenue cycle process.

Job Description

• 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 customer 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.

Skills Required

• Follow up – insurance and financial counseling
• 2 in Front end and 2 in the back end
• Contacting insurance companies, insurance plan authorizations
• Billing
• Bilingual (English and/or Spanish, French)
• Four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping

Education/Training/Certifications

• Baccalaureate Degree from an accredited college or university; or High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization.
• Education and/or experience which is equivalent to “1” or “2” above. College education may be substituted for experience on the basis that thirty (30) semester credits are equivalent to one (1) year of experience. However, all candidates must have at least a High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization.

Additional Requirements

• Shift time: 9-5pm Monday – Friday no weekends no holidays

Pay Rate

• $29.00 per hour

"We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law”.

Job Tags

Similar Jobs