Hosp Care Investigator - PROVISIONAL - 57105

Full Time | New York City, NEW YORK | 5 days

Job Summary

Full Time

$102,323 Average salary of similar jobs | Check Salary...

Job Description

Marketing Statement

Coler is an 815 bed, leading nursing facility dedicated to providing quality medical, sub-acute, rehabilitative and long-term specialty services. We are committed to serving New York City, providing services to individuals requiring geriatric, memory care and rehabilitation services.


Job Description

Purpose of Position:  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.

Examples of Typical Tasks:

1. 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.  2. Contacts outside agencies, organizations, insurance carriers and employers to obtain necessary information about potential sources of revenue.  3. Acts as liaison with social services and home care agencies.  4. 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.  5. Facilities processing of patients’ applications for third party benefits, including but not limited to Medicaid and Medicare.  6. 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.  7. Reviews patient account records to insure patients are properly billed; verifies and corrects patient bills and codes information for computerized system.  8. Verifies accuracy of patient information stored in computer and codes changes and modifications, as necessary.  9. Responds to complex inquiries from patients and third party payers and resolves disputes concerning bills submitted for payment.  10. Follows up on collections to insure maximization of revenue.

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 or go to employment.nychhc.org

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