Senior Hospital Care Investigator- Transfer Opportunity for Permanent Incumbents (Sr. HCIs) and[...]

NYC Health + Hospitals; New York (NY); On-site; USD 57,000 - 67,000; Full time

Job summary

Join NYC Health + Hospitals as a Senior Hospital Care Investigator, responsible for overseeing claims and staff in the revenue cycle process. Applicants should have prior experience as a Hospital Care Investigator and excellent knowledge of billing systems. The role offers a competitive salary and benefits for dedicated professionals committed to high-quality healthcare.

Benefits

Comprehensive Health Benefits

Pension Plans

Loan Forgiveness Programs

Paid Holidays and Vacation

College tuition discounts

Qualifications

• Six months of service as a Hospital Care Investigator.
• Supervisory experience in medical assistance.
• Knowledge of claim submission processes.

Responsibilities

• Oversees both paper and electronic claims for timely review.
• Supervises staff in billing and investigations.
• Interacts with departments to complete billing procedures.

Skills

Knowledgeable of revenue cycle process

Ability to review and appeal claim edits

Tools

Epic Financial system

Job description

Senior Hospital Care Investigator- Transfer Opportunity for Permanent Incumbents (Sr. HCIs) and/or Promotional Opportunity for Permanent HCIs Only (Provisional Appointment)

Join to apply for the Senior Hospital Care Investigator- Transfer Opportunity for Permanent Incumbents (Sr. HCIs) and/or Promotional Opportunity for Permanent HCIs Only (Provisional Appointment) role at NYC Health + Hospitals

Senior Hospital Care Investigator- Transfer Opportunity for Permanent Incumbents (Sr. HCIs) and/or Promotional Opportunity for Permanent HCIs Only (Provisional Appointment)

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Join to apply for the Senior Hospital Care Investigator- Transfer Opportunity for Permanent Incumbents (Sr. HCIs) and/or Promotional Opportunity for Permanent HCIs Only (Provisional Appointment) role at NYC Health + Hospitals

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NYC Health + Hospitals provided pay range

This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$57,490.00/yr - $66,114.00/yr

Marketing Statement

Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Purpose

Job Description

A member of the revenue cycle process, Billers/AR follow-up are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, and updating patient accounting systems. The Billers/AR follow-up also perform related functions in support of the Patient Financial Services operations and other duties, as assigned.

Specific Duties And Responsibilities

The Senior Hospital Care Investigator is charged with and responsible for:

Senior Hospital Care Investigator

• Oversees complete both paper and electronic claims, in a timely manner, for review and processing by the Supervisor
• Oversees HCIs and effectively use all hospital patient accounts computer systems,
• Document patient information clearly and completely in the Epic billing systems
• Interact with other departments to complete billing on accounts
• 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 Patient Accounts Manager or Supervisor
• Supervises a unit engaged in medical assistance, investigation activities, assigning, and controlling the flow of work, training and advising subordinates in difficult matters. Evaluating staff and recommending appropriate personnel action when indicated.
• Corrects case records and/or recommendations for approval or denial and for appropriateness of category assistance.
• Review applications for in-patient care and determines eligibility for other medical assistance. Reviews all insurances for correctness, reviews productivity reports to maintain productivity and quality of performance.
• May conduct special or emergency investigations, or investigations of a more difficult or complex nature.
• Interprets departmental, City, State and Federal rules and regulations for the staff.
• Maintains statistical records and prepares status reports.
• Facilitate billing third party payers/patients and resolve insurance denial.
• Document all work done accordingly.
  
  

Minimum Qualifications

Six months of service as a Hospital Care Investigator.

Department Preferences

• Knowledgeable of the revenue cycle process and required fields to update in the Epic Financial system
• The ability to review, appeal and make corrections to all claim edits and denials
• Understand the process to prepare and complete claims for submission to all qualifying payers
• The ability to supervisor all HCIs on how to perform related functions in support of the Epic Patient Financial system.
  
  

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  Hospitals and Health Care

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