We are hiring an enthusiastic Hospital Care Investigator to join our productive team at Dynamics ATS in Many, LA.
Growing your career as a Full Time Hospital Care Investigator is a great opportunity to develop productive skills.
If you are strong in critical thinking, persuasion and have the right mindset for the job, then apply for the position of Hospital Care Investigator at Dynamics ATS today!
Hospital Care Investigator JOB-******** Anticipated Start Date April 03, 2023
Location New York, NY
Type of Employment Contract Hire
Employer Info Our client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Their vision is to be a fully integrated health system that enables New Yorkers to live their healthiest lives. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits. In fact, over 30% of our candidates have converted to full time positions at our client.
Job Summary We are looking for individual to join our client's team as Hospital Care Investigator. You will be working 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,
Job Description Verification of insurance eligibility and benefits for all patients requesting Advanced Imaging Services. 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. Ensure appropriate notation has been documented in Epic. This also includes any other systems associated with processing Advanced Imaging procedures. Submit online authorization request to Evicore Insurance Companies for patients scheduled for Imaging Services. Financially clear patients scheduled for Imaging Services in Epic when the authorization has been received and approved. 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. Facilitate Public Health Insurance screening and enrollment via the NY State of Health for the uninsured populations requesting Imaging Services. 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. 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. Inform patients or their representatives via mail and/or telephone of their scheduled appointment date, time, and location. Conducts patient interviews and/or pre-screening process to obtain identifying/qualifying Demographic, Biographic and Insurance information to complete the New Patient Registration process. Demonstrate the ability to be flexible, organized, and function efficiently in a fast-paced environment. Follow and adhere to all steps in the Advanced Imaging workflow guidelines. Other assignments and special projects as deemed necessary and or appropriate by the Department. A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing, and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. Perform related functions in support of the Patient Financial Services operations and other duties, as assigned. Skills Required Four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping. Complete both paper and electronic claims, in a timely manner. Effectively use computer systems Document patient information clearly and completely in systems. Interact with other departments to complete billing on accounts. Process rejections, denials, and other correspondence in a timely manner. Process pre authorizations, documenting responses in the system and following up as needed. Audit patient accounts for accuracy. Apply adjustments as needed. Provide billing customer service and ensure that conversations are documented accurately. Processing statements and entering information into database; and reviewing past due bills and following up on past due accounts. Generate Patient Balance Aging report and Insurance Aging report and following with patients and insurances accordingly. Arrange payment schedules with patients. Refer accounts requiring escalation to Supervisor in a timely manner. Attend all necessary training sessions to effectively perform the day-to-day functions of the position. Perform all other duties, as assigned by the Manager or Supervisor. Education/Training/Certifications High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization. Bachelor's Degree 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. 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. Additional Requirements Adhere to company guidelines regarding COVID compliance. Shift Time: 9:00 AM - 5:00 PM Pay Rate $29.00 per hour Benefits of working as a Hospital Care Investigator in Many, LA:
? Excellent benefits
? Opportunities to grow
? Competitive salary
