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Hospital Care Investigator - HCI 0128 PM#02

NavitasPartners
locationNew York, NY, USA
PublishedPublished: 6/14/2022
Legal
Full Time

Job Description

Job Description

Job Title: Hospital Care Investigator
Location: New York, NY 10037
Contract Duration: 9 Weeks

Pay Rate: Up to $26/hour

Shift & Schedule

  • Monday – Friday

  • 9:00 AM – 5:00 PM

  • 37.5 hours per week

Job Summary

A healthcare organization in New York is seeking a Hospital Care Investigator to support Patient Financial Services within the revenue cycle process. This role is responsible for reviewing and correcting billing accounts, preparing and submitting insurance claims, posting payments, and resolving denials. The ideal candidate will demonstrate strong attention to detail, effective communication skills, and the ability to collaborate across departments to ensure accurate and timely billing.

Key Duties & Responsibilities

  • Review patient accounts and correct claim edits

  • Prepare and submit both paper and electronic insurance claims

  • Post payments and update patient accounting systems

  • Process claim rejections, denials, and payer correspondence in a timely manner

  • Coordinate with internal departments to resolve billing-related issues

  • Process and follow up on pre-authorizations and document outcomes

  • Audit patient accounts for accuracy and apply appropriate adjustments

  • Provide billing-related customer service and document all interactions

  • Process patient statements and follow up on past-due accounts

  • Generate and review Patient Balance Aging and Insurance Aging reports

  • Follow up with patients and insurance carriers regarding outstanding balances

  • Arrange payment plans with patients when applicable

  • Escalate complex or unresolved accounts to supervisors promptly

  • Attend required training sessions

  • Perform additional duties as assigned by management

Required Skills & Experience

  • Experience completing both paper and electronic insurance claims

  • Proficiency with billing systems and standard computer applications

  • Strong documentation and data entry skills

  • Experience handling claim denials, rejections, and follow-ups

  • Excellent customer service and communication skills

  • Strong attention to detail and organizational skills

Education & Qualifications

Required:

  • High School Diploma or equivalent

Preferred:

  • Bachelor’s degree from an accredited college or university OR

  • Four (4) years of full-time experience in interviewing, investigation, billing, collections, bookkeeping, or a related field

  • College coursework may substitute for experience (30 semester credits = 1 year of experience)

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC: It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

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