Hospital Care Investigator provisional - New York, United States - NYC Health + Hospitals

NYC Health + Hospitals

Verified Company

New York, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

About NYC Health + Hospitals:

NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736.

Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff.

It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education.

Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology.

In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source.

Bellevue's clinical centers of excellence include:

Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children's Psychiatric Emergency Program; and Cancer 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.

Position Summary:

A member of the revenue cycle process, the Billing/Follow-up Representative is responsible for contacting insurance payers to review claims that have not paid after a reasonable period of time and follow through to resolution.

The Billing/Follow-up Representative is responsible for knowing current rules and regulations for each payer. Major responsibilities include account research, potentially rebilling accounts and seeing accounts with pending balances through to resolution.

Billing/Follow-up reps could also be responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, and updating patient accounting systems.

The Billing/Follow-up Reps also perform related functions in support of the Patient Financial Services operations and other duties, as assigned.

Essential Job Functions:

The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to the position within the revenue cycle process.
Ensure compliance with payer rules and regulations
Effectively use computer systems
Document patient information clearly and completely in our Financial systems
Perform routine followup on outstanding insurance balances
Review and work appropriate accounts to maximize A/R reduction and minimize writeoffs
Review payer denials, underpayments, overpayments and credit balances and work them to resolution.
Complete claims for review and processing as instructed by the Supervisor
Resubmits corrected claims as needed.
Interact with other departments to resolve outstanding payer balances
Refer accounts requiring escalation to Supervisor in a timely manner
Attend all necessary training sessions to effectively perform the daytoday functions of the position
Perform all other duties as assigned by the Patient Accounting Manager or Supervisor

Minimum Qualifications:

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; or

A 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,

How To Apply:

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