Sr Hosp Care Investigator

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

Job summary

Join a leading health care organization as a Sr Hosp Care Investigator, focusing on maximizing hospital revenue and leading the Commercial & Managed Care Denials Team. You will implement changes, train staff, and ensure compliance with policies while fostering a positive work environment. This role is vital in enhancing operational efficiency and quality of service delivery.

Benefits

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

College tuition discounts and professional development opportunities

Multiple employee discounts programs

Qualifications

• Six months of service as a Hospital Care Investigator.

Responsibilities

• Directs and manages daily operations of the Commercial & Managed Care Denials Team.
• Provides clear expectations for Patient Accounting employees.
• Ensures appropriate staffing to provide efficient billing and collection activities.

Job description

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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

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

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.

Job Description

Summary

Serves as change agents who identify systems and/or operational issues to maximize hospital revenue,

implement changes and train /motivate others to use all available resources to perform job functions in

the Patient Financial Services Department at Metropolitan Hospital Center.

Major duties include, but are not limited;

Directs and manages daily operations of the Commercial & Managed Care Denials Team,

Infusion and dialysis claims follow-up and correction

Manages personnel and provides leadership through effective guidance, feedback and

delegation. Provides clear expectations for Patient Accounting employees.

Participates in staff orientation and continuing education for all staff to ensure effective job

performance.

Serves as a resource to staff on issues of back end revenue cycle processes and standards,

system and technology, insurance guidelines and regulatory requirements job performance

Delegates responsibilities effectively, providing the necessary support and information for

successful outcome

Works closely with team to improve operations; makes and implements recommendations to

improve operations

Ensures appropriate staffing to provide efficient and quality billing and collection activities.

Assures that the goals of the department are being furthered by staff

Metric Management and Accountability

Ensures all Patient Accounting functions are performed within the guidelines of NYCC+H policies

and procedures

Uses key performance indicator to manage operations and continue performance improvement

efforts. Prepares and researches reports for area of responsibility

Identifies root cause issues, develops, and implements action plans for improvement. Shares

success with others

Sets and communicates interim goals

Communicates risks and progress to goals to direct supervisor

Measures staff quality and activity. Communicates results and provides support for staff

development and process improvement to enhance quality of work and activity

Functional Job Description

Provides timely and effective counseling to staff. Recognizes and rewards staff for excellent

performance when goals are met. Provides disciplinary action aligned with NYCH+H policy when

necessary, and properly documents as needed.

Communication

Provides feedback and communicates issues or barriers. Promotes open communication across

the revenue cycle

Escalates issues as needed to direct supervisor or Central Office

Maintains a positive environment for the public, patients and hospital personnel by providing

and open line of communication

Promotes a strong productive environment; is role model; creates a team climate characterized

by honesty, trust and open communication

Minimum Qualifications

Six months of service as a Hospital Care Investigator.

Department Preferences

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

  Other, Information Technology, and Management

• Industries

  Hospitals and Health Care

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