Hospital Billing & Benefit Investigator
NYC Health + Hospitals
NYC Health + Hospitals seeks a Billing Investigator to determine eligibility for medical assistance programs and assess patients' ability to pay; you will verify and update demographic and insurance data, perform billings and collections, and help maximize hospital revenue. You will coordinate with Medicaid/Medicare, social services, and outside agencies, and handle third‑party billing forms, ensuring accuracy and timely follow‑ups. #J-18808-Ljbffr NYC Health + Hospitals
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Hospital Billing & Benefit Investigator in New York, NY vacancy
- ...Provides support for special investigation unit (SIU) activities... ...informational tips from member benefits and medical records following... ...coding experience in a surgical, hospital and/or clinic setting, or... ...• Understanding of claim billing codes, medical terminology,...SuggestedContract workWork at officeLocal areaRemote work
Molina Healthcare
New York, NY2 days ago - ...and Mental Health Center is seeking a Billing/Eligibility Investigator to determine patient eligibility for... ...to support revenue collection for hospital services. The role requires strong interviewing... ...agencies to secure payment and benefits. Collaboration with social services...Suggested
- ...process. Skills: Medical Biller - Experience with billing edits, claim denials, and follow-up activities. Strong... ..., and four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or...SuggestedPermanent employmentFull timeContract workTemporary workPart timeShift work
ATD Technology LLC
New York, NY3 days ago - Kings County Hospital Center in New York seeks a detail-oriented investigator-biller to determine eligibility for medical assistance and to maximize revenue through timely billing and collections. Under direct supervision, you will verify demographic and insurance data...Suggested
$56.2k - $101k
...Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical... ...claims, medical records, provider billing practices, enrollment information, financial... ...Centene offers a comprehensive benefits package including: competitive pay, health...SuggestedFull timePart timeH1bWork at officeRemote workFlexible hoursCentene Corporation
New York, NY3 days ago- ...Position: EEO Investigator Department: Equal Opportunity / Office of Legal Affairs... ...Ability to work in a fast-paced healthcare/hospital setting. Education Bachelor'... ...formulate recommendations considering risks, benefits, and alternative perspectives....Work at officeLocal areaRemote workMonday to Friday
Integrated Resources
New York, NY4 hours ago $61 - $72 per hour
...Opportunity Details Full Time EEO Investigator EEO Investigator JOB-1004... ...opportunities and excellent benefits. In fact, over 30% of our candidates have... ...Ability to work in a fast-paced health care/hospital setting. Education/Training/Certifications...Hourly payFull timeContract workTemporary workWork at officeLocal areaShift workGlass Family of Companies
New York, NY3 days ago- ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced... ...books, ledgers, payrolls, cost reports, billing statements, invoices, correspondence, computer... .... Therefore, we offer a comprehensive benefits package. ~ Health, Dental, and Vision...Full timeWork at officeLocal areaFlexible hours
Contact Government Services LLC
New York, NY2 days ago $75.35k - $98.89k
...We're hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our... ...Investigator detects and audits aberrant billing patterns within claims and clinical... ...year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation...Full timeWork at officeRemote workWork from homeFlexible hours3 days per weekOscar Health
New York, NY2 days ago$60.2k - $107.4k
Senior Investigator Pharmacy At UnitedHealthcare, we're simplifying the health care experience... ...sources to identify aberrant billing practices and patterns, and conduct investigations... ...experience with a pharmacy and/or pharmacy benefits manager (PBM) All telecommuters will be...Full timeTemporary workWork experience placementLocal areaRemote work- Shields Health Solutions is seeking an Eligibility Specialist (Pharmacy Technician) responsible for conducting benefits investigations and ensuring accurate documentation. Candidates must have a High School Diploma or GED and PTCB certification. This remote role requires...Remote job
- ...York City’s premier acute care hospitals. Located in Downtown Bronx,... ...supervision, conducts investigations in a health care setting to... ...takes the necessary actions to bill and collect for these services... ...Public Assistance for possible benefits. Facilities processing of...Work at office
$17 per hour
...48,000 employees working across eight hospitals, more than 400 outpatient practices, more... ...9th percentile in research dollars per investigator according to the Association of... ...pay or other forms of compensation or benefits. #J-18808-Ljbffr Mount Sinai Health SystemHourly payDaily paidFull timeTraineeshipLocal areaShift work$66.96k
...analysts to conduct complex healthcare fraud investigations. The Medicaid program provides health... ...providers engaged in Medicaid billing schemes that harm recipients and cause... ...location pay. OAG offers comprehensive benefits, including paid leave, health, dental,...Work experience placementWork at officeLocal areaRemote workFlexible hoursOffice of the New York State Attorney General
New York, NY3 days ago$239k - $269k
...care for patients with all endocrine conditions at Mount Sinai Hospital in New York. The position involves collaboration with a multi-disciplinary... ...salary range of $239K to $269K is offered, alongside various benefits including productivity bonuses and CME stipends. #J-18808-...$22 - $30 per hour
...: Hospital Care Investigator - Urgent Opening Job Title: Hospital Care Investigator Location: 462 1st Ave., New York, NY 10016 Facility: Bellevue Hospital Center Shift Schedule: 9:00 AM - 5:00 PM (08Hrs. Day shift) Guaranteed Hours: 40/Week. Duration...Hourly payFull timeContract workTemporary workMonday to FridayShift workDay shiftEA Team
New York, NY5 days ago- ...Conduct field-based investigations related to Medicaid fraud, abuse, or non-compliance, aligned with UPIC protocols and state-specific Medicaid... ...to gather key case evidence. Analyze Medicaid claims, billing patterns, and supporting documentation to identify irregularities...Work at office
Jobtailor
New York, NY1 day ago - Purpose of Position Under general supervision, supervisions a unit conducting investigations in hospitals to determine eligibility of applicants for medical assistance at public expense, or a unit reviewing applications or conducting investigations of non-hospitalized and...
- NYC Health + Hospitals is seeking candidates for a role focused on conducting investigations to determine patient eligibility for medical assistance payment programs. Candidates will also take actions to bill and collect for services, ensuring coding and verification of...
- Lincoln Medical and Mental Health Center in the Bronx, part of NYC Health + Hospitals, seeks a payments and eligibility specialist to assess patients’ medical assistance eligibility and coordinate billing. Under supervision, you will interview patients and families, verify...
- Responsibilities Generate new investigations and continue ongoing investigations and civil actions involving fraud in areas such as healthcare... ...of a case. Examine books, ledgers, payrolls, cost reports, billing statements, invoices, correspondence, computer data, and...Work at officeLocal area
$53.76k - $85.14k
...or above, the RCS-1 reports directly to an RCS-2, conducting investigative activities as assigned. The incumbent must be able to perform... ...Brooklyn, NY . New York, NY $96,000.00-$132,000.00 2 weeks ago Billing and Collecting Analyst, Bureau of Revenue New York, NY $83,000...Permanent employmentFull timeTraineeshipWork at officeLocal areaRemote workNight shift- ...48,000 employees working across eight hospitals, more than 400 outpatient practices, more... ...9th percentile in research dollars per investigator according to the Association of... ...include bonuses/incentive, differential pay or other forms of compensation or benefits.Hourly payTraineeshipLocal area
- ...Sinai Health System, which includes seven hospital campuses, and has more than 5,000... ...under the supervision of the Principal Investigator or a senior researcher. This individual... ...include bonuses/incentive, differential pay or other forms of compensation or benefits.Hourly payTraineeshipLocal area
- ...Dandelion Health was founded in 2020 by experts in health tech, hospital systems, academia, and clinical AI. We are building the world’s... ...company working days on roughly a quarterly basis. Team Benefits Remote work and flexible hours. Availability needed for meetings...Remote workFlexible hours
$55k - $70k
...35 years, UtiliSave has led the utility bill auditing industry and we are still growing... ...here. Our clients include manufacturers, hospitals, nursing homes, commercial and... ...research database design Compensation & Benefits Salary: $55,000—$70,000/year, commensurate...Full timeContract workWork at officeRemote workVisa sponsorship- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records to ensure alignment with guidelines and regulations, and identify schemes such...Remote jobWork at office
$120k - $145k
...teammates.ABOUT THE ROLE:We are seeking an experienced BSA/AML Investigator to help detect, prevent, and report financial crimes. As part... ...the Saturday-Wednesday full-time work schedule.COMPENSATION AND BENEFITS:$120,000 - $145,000 USDBase salary is just one part of our...Permanent employmentFull timeTemporary workWork at officeLocal areaRemote workWeekend work- ...clinical job Why I love my job as a leader at Kootenai Health Benefits Spotlight A variety of medical, dental, and vision insurance plans... ...Health about job opportunities and events! What makes a successful employee at Kootenai Health? #J-18808-Ljbffr Kootenai HospitalFull timeTemporary workPart timeReliefWork at officeLocal areaShift workNight shiftWeekend work
$58.66k - $77.13k
...48,000 employees working across eight hospitals, more than 400 outpatient practices, more... ...9th percentile in research dollars per investigator according to the Association of... ...pay or other forms of compensation or benefits. #J-18808-Ljbffr Mount Sinai Medical CenterTraineeshipLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hospital Billing & Benefit Investigator. Be the first to apply!
Related searches
- defense investigator New York, NY
- workplace investigator New York, NY
- corporate security investigator New York, NY
- work from home background investigator New York, NY
- ethics investigator New York, NY
- human rights investigator New York, NY
- healthcare investigator New York, NY
- security investigator New York, NY
- employee relations investigator New York, NY
- lead investigator New York, NY