Hospital Care Investigator Job at NYC Health Hospitals, New York, NY

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  • NYC Health Hospitals
  • New York, NY

Job Description

Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation Medicine, Renal and Mental Health Services. 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

9:00 A.M - 5:00 P.M

Job Description A member of the revenue cycle process, the Hospital Care Investigator (HCI) for Customer Service Billing Unit is responsible to provide assistance on billing inquiries & provide follow-up on questions & requests from in-person meetings with patients, telephone calls & e-mail inquiries. The Customer Service Billing Unit HCI may work with patients before or after care is delivered. Common questions & requests include providing additional information on a patient bill, accepting patient payments, providing payment plans, answering insurance related questions, providing patient liability pre-service estimates, & directing patients for financial assistance accordingly to the appropriate NYC H+H resource. HCIs also perform related functions in support of the Patient Financial Services operations & other duties, as assigned. Duties & Responsibilities Respond to billing questions from patients & family members regarding expected or owed patient liability. Accept & process patient payments. Work & complete Customer Service Billing assigned tasks including, but not limited to, designated work queues & review of inquiries received via shared e-mail box. Field patient billing questions & seek Sr. HCI's guidance when questions pertain to issues outside of Patient Account's scope to the appropriate department. Interact with other departments to ensure patient questions & requests are responded to timely & accurately. Refer accounts requiring escalation to Supervisor in a timely manner. Attend all necessary training sessions to effectively perform the day-to-day functions of the position. Perform all other duties, as assigned by the Patient Accounting Manager or Supervisor. Minimum Qualifications
  1. A baccalaureate degree from an accredited college or university; or
  2. An Associate's degree from an accredited college or university; and completion of an accredited certificate program in medical billing; or
  3. A four-year high school diploma or its educational equivalent; and completion of an accredited 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; or
  4. A four-year high school diploma or its educational equivalent; and four (4) years of full-time experience, as described in #3 above, at least two years of which must have been in interviewing, investigations, or a related field such as credit and collection follow-up or bookkeeping; or
  5. 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 and candidates must have completed an accredited certificate program in medical billing or have at least two years of full-time experience in interviewing, investigations, or a related field such as credit and collection follow-up or bookkeeping. In addition, all candidates must have at least a four-year high school diploma or its educational equivalent.
Department Preferences

EDUCATION:

  1. Baccalaureate Degree from an accredited college or university; or,
  2. High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization, & four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit & collection follow-up or bookkeeping; or,
  3. Education &/or experience which is equivalent to "1" or "2" 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 High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization
EQUIPMENT/MACHINES OPERATED: Desktop PC; laptop; scanner, all-in-one (printer/scanner/fax) KNOWLEDGEABLE IN : Basics of Hospital's Revenue Cycle & general principles of hospital's billing & follow-up requirements.

PREFERRED SKILLS:

Strong organization & communication skills (written & oral); Computer literate; Prior experience in a healthcare setting along with patient financial services experience; Prior experience working within electronic medical record & financial management system in hospital or physician office setting preferred but not required. COMPUTER PROGRAMS/SOFTWARE OPERATED: EPIC EMR & Financial Management System On-Base & Media Manager for Scanning Secure Government/Payer Portals MS Excel, Word, Access, PowerPoint Adobe Acrobat 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 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 NYC Health Hospitals

Job Tags

Holiday work, Full time, Shift work,

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