Hosp Care Investigator

About NYC Health + Hospitals

NYC Health + Hospitals / Jacobi is a 457-bed teaching hospital affiliated with the Albert Einstein College of Medicine. The facility has earned numerous Center of Excellence designations, accreditation, and recognition for its renowned Level 1 Trauma Center, Burn Center, Surgical Intensive Care Unit, regional Stroke Center, Snakebite Treatment Center, Breast Health Center, Bariatric Surgery Center, and Cancer Service.

The facility also offers the region’s only multi-person hyperbaric chamber, allowing up to nine patients to dive together at one time.

Jacobi’s Ambulatory Care Pavilion is a stunning complement to its inpatient acute care, allowing staff to provide patients with high-quality service in a modern, state-of-the-art environment.

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.

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Job Description

• Under direct supervision, conducts investigations to determine ability of patients and their legally responsible relatives to pay hospital charges;
• explores alternative sources for payments for hospital services rendered; codes, verifies and modifies demographic and insurance data obtained from source documents onto coding forms for later entry into computerized system;

performs billings and collections functions in order to obtain maximization of hospital’s revenue; performs related work.

• Informs patient of hospital rates; performs in-depth interviews with patients, families, relatives and friends in an office setting or the hospital, during field investigations, and / or by telephone to determine patients’ and / or legally responsible relatives’ ability to pay for services rendered.
• Contacts outside agencies, organizations, insurance carriers and employers to obtain necessary information about potential sources of revenue.
• Acts as liaison with social services and home care agencies.
• Refers patients to various hospital departments and outside agencies, such as Medicaid, New York State Unemployment Insurance, Social Security and Public Assistance for possible benefits.
• Facilities processing of patients’ applications for third party benefits, including but not limited to Medicaid and Medicare.
• Reviews and abstracts Medical charts to obtain pertinent information for accurately coding and completing third party billing forms, indicating treatment given, discharge diagnoses and overall patient information for computerization purposes.
• Reviews patient account records to insure patients are properly billed; verifies and corrects patient bills and codes information for computerized system.
• Verifies accuracy of patient information stored in computer and codes changes and modifications, as necessary.
• Responds to complex inquiries from patients and third party payers and resolves disputes concerning bills submitted for payment.

Minimum Qualifications

1. A Baccalaureate Degree from an accredited college or university; or

2. Graduation from a Senior High School or a High School Equivalency Diploma; and

3. Four (4) years of experience in interviewing, casework or a related field preferably in a hospital or health care facility setting; or

4. A satisfactory equivalent combination of education, training and experience.

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply Now" 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
7 days ago