Hospital Care Investigator (Provisional Appointment)

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.

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.

Work Shifts

4:00 P.M – 12:00 A.M

Job Description

Examples of Typical Tasks

Informs patient of health care setting rates; performs in-depth interviews with patients, families, relatives and friends in an office setting or the health care setting, 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 a liaison with social services and home care agencies. Refers patients to various health care setting 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 ensure 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. 9. Responds to complex inquiries from patients and third-party payers and resolves disputes concerning bills submitted for payment. Follows-up on collections to ensure maximization of revenue.

Minimum Qualifications

Qualification Requirements

A Baccalaureate Degree from an accredited college or university; or An Associate’s degree from an accredited college or university; and completion of a certificate program in medical billing; or A four-year high school diploma or its educational equivalent; and completion of a certificate program in medical billing; and two (2) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping, or as a customer service representative providing comprehensive customer service entailing the dispensing of information or listening to and resolving customer’s concerns, problems and complaints or troubleshooting; orA four-year high school diploma or its educational equivalent; and four (4) years of full-time experience, as described in #3 above; or Education and/or experience which is equivalent to (1), (2), (3) or (4) above. College education may be substituted for experience on the basis that thirty (30) semester credits are equivalent to one (1) year of experience. However, all candidates must have at least a four-year high school diploma or its educational equivalent.

How To Apply

If you wish to apply for this position, please apply online at employment.nychhc.org.

NYC Health and Hospitals offers a competitive benefits package that includes:

Comprehensive Health Benefits for employees hired to work 20+ hrs. per weekRetirement Savings and Pension PlansLoan Forgiveness Programs for eligible employeesPaid Holidays and Vacation in accordance with employees' Collectively bargained contractsCollege tuition discounts and professional development opportunitiesMultiple employee discounts programs