Hospital Care Investigator - HCI23-05084

Job Title: Hospital Care Investigator 
Location: Manhattan, NY
Duration: 3+ Months Contract (surely extendable)
Shift: Morning Shift (9:00 AM – 5:00 PM)

Job Description:

• A member 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.

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 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.
  

Education:

• Baccalaureate Degree and/or Must have at least a High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization.
• Four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping; or, Education and/or experience which is equivalent to “1” or “2” above.

Essential: Must have 2 years of hospital/healthcare experience and Bilingual (Spanish or French) (Read, Write, Speak)