Hosp Care Investigator 00060546 (Q) - 62591

Full Time | New York City, NEW YORK | 14 days

Job Summary

Full Time

$101,957 Average salary of similar jobs | Check Salary...

Job Description

About NYC Health + Hospitals

Queens Hospital Center is making good on its promise to the people of southeastern and central Queens to maximize both patient convenience and positive clinical outcomes. Residents of Queens can count on the delivery of quality medical care right in their own borough.  In 2002 the hospital opened a state-of-the-art, 261-bed facility that includes the Queens Cancer Center, the first comprehensive cancer treatment center in the borough.

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.
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 at employment.nychhc.org.

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