Job Description

Job Title: Hospital Care Investigator

Location: New York, NY 10037

StartJob Duration: 13 Week

Schedule: Monday–Friday, 9:00 AM – 5:00 PM

Hours: 40 hours/week Position Overview:

The Hospital Care Investigator plays a vital role in the revenue cycle by managing billing, follow-ups, insurance claims, and patient financial services. The role includes reviewing accounts, resolving edits, preparing claims, processing payments, and supporting the broader financial operations of the hospital.

Responsibilities:

• Prepare and submit complete and accurate paper and electronic claims

• Use computer systems efficiently to document and process patient information

• Follow up with insurance companies for authorization and claim resolution

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

• Audit accounts for accuracy and apply necessary adjustments

• Provide patient billing support and document communications accurately

• Generate and follow up on patient and insurance aging reports

• Assist with payment arrangements and escalate issues to supervisors when needed

• Participate in required training and carry out additional tasks as assigned

Skills and Competencies:

• Proficiency in medical billing systems and insurance claim processing

• Strong documentation and communication skills

• Ability to work with cross-functional departments

• Knowledge of patient account auditing and adjustments

• Customer service and problem-solving abilities

• Ability to manage and follow up on outstanding balances

Education Requirements:

One of the following must be met:

• Bachelor’s Degree from an accredited institution

  OR

• High School Diploma or equivalent plus four (4) years of relevant full-time experience in interviewing, investigations, credit, collections, or bookkeeping

Job Tags

Full time, Monday to Friday,

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