Hospital Care Investigator (000494)

Job Title: Hospital Care Investigator
Location: 462 1st Avenue, Bellevue Hospital Center, New York, NY 10016
Duration: 13 Weeks
Work Schedule: 9 am to 5 pm (M-F)
Pay Rate: $25/hr. - $30/hr.
Job Description:
Covid Vaccination Card is must.
Under general supervision of the Sr. Hospital Care Investigator, and with moderate latitude for the exercise of independent initiative and judgment, this position is responsible for performing, but not limited to, the following:

1. Verification of insurance eligibility and benefits for all patients requesting Advanced Imaging Services.
2. Conduct comprehensive System Checks for the uninsured population and/or when no insurance has been identified. This also includes telephone interviews with patients when all other tools and/or options has been exhausted.
3. Ensure appropriate notation has been documented in Epic. This also includes any other systems associated with processing Advanced Imaging procedures.
4. Submit online authorization request to Evicore\Insurance Companies for patients scheduled for Imaging Services.
5. Financially clear patients scheduled for Imaging Services in Epic when the authorization has been received and approved.
6. Communicate any issues that may arise after the request has been submitted with the Ordering Provider and Attending via e-mail. This will include request for additional notes, denials, and any other correspondence received from the initial request.
7. Facilitate Public Health Insurance screening and enrollment via the NY State of Health for the uninsured populations requesting Imaging Services.
8. Accurately update and revise Demographic, Biographic, and Insurance information in our Patient Accounting/Revenue Cycle Systems on all active accounts to reflect the most current data.
9. Provide end of the day daily productivity reports to the Advanced Imaging Unit managers which would include status updates on all cases assigned daily. This should include all cases that have been submitted, approved, and denied.
10. Inform patients or their representatives via mail and/or telephone of their scheduled appointment date, time, and location.
11. Conducts patient interviews and/or pre-screening process to obtain identifying/qualifying Demographic, Biographic and Insurance information to complete the New Patient Registration process.
12. Demonstrate the ability to be flexible, organized, and function efficiently in a fast paced environment.
13. Follow and adhere to all steps in the Advanced Imaging workflow guidelines .
14. Other assignments and special projects as deemed necessary and or appropriate by the Department.

Education:
Baccalaureate Degree from an accredited college or university; or, High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization, and four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping; or, Education and/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
Skills:

• EXCELLENT COMPUTER SKILLS
• CUSTOMER SERVICE
• EXCELLENT VERBAL AND WRITTEN COMMUNICATION SKILLS
• FINANCIAL/INSURANCE INFORMATION VERIFICATION
• INSURANCE REGISTRATION
• INSURANCE BILLING
• FINANCIAL SERVICES
• PATIENT ACCOUNTING
• PAYMENTS
• BILLING
• DATA BASE
• CORRESPONDENCE
• DOCUMENTING