Hospital Care Investigator
Job Title: Hospital Care Investigator
Location: New York, NY
Rate: $29/hour (W-2)
Duration: 2 months (with potential extensions)
Shift: Monday Friday | 9:00 AM 5:00 PM EST | 35 hours/week (1-hour lunch break)
The Hospital Care Investigator plays a key role in the revenue cycle process, supporting billing, claims processing, payment posting, and account reconciliation. The ideal candidate will ensure timely submission of both paper and electronic claims, follow up on denials, and provide billing-related customer service.
Key Responsibilities:-
Prepare and submit both paper and electronic claims accurately and on time
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Use computer systems to document patient information and billing activities
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Review and process claim rejections, denials, and correspondence
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Manage pre-authorizations and follow-ups, documenting all actions
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Audit patient accounts and apply adjustments as needed
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Handle billing-related inquiries and provide excellent customer service
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Process statements, enter billing data, and follow up on overdue accounts
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Generate and follow up on Patient and Insurance Aging Reports
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Negotiate and arrange payment plans with patients
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Escalate complex cases to Supervisor as needed
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Attend required training sessions and perform other related duties as assigned
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Proficiency in billing and claims management systems
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Strong written and verbal communication skills
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Attention to detail and ability to work independently
- Customer service experience in a healthcare setting preferred
Education & Experience:
- Bachelor's Degree from an accredited institution
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