Hosp Care Investigator - 00044038 (provisional Civil Service Status) Vacancy In Nyc Health + Hospitals

Hiring Organization / Company: Nyc Health + Hospitals
Basic Salary: To Be Discussed
Employement Type: Full-Time



Job Details:

About NYC Health + Hospitals


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.

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 by clicking the "Apply Now" button.




Job Location Information:
City: New York
State: Ny
Country: Us
Location: New York, Ny

Date Posted: 2021-04-07
Job Listing No# : 75998


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