Hospital Care Investigator

Pride Health is hiring a Hospital Care Investigator to support our client's medical facility based in Harlem, NY. This contract opportunity is a great way to start working with a top-tier healthcare organization! *This is an ON-SITE position*Specialty: Hospital Care Investigator (There are 4 positions being offered - 2 in the Front End and 2 in the Back End)Job Type: CONTRACTDuration: 8 weeksLocation: Harlem, NY - 10037 Schedule: Monday-Friday 9 am - 5 pm No weekends and no holidays requirements - 1-hour lunch!!!Pay Range: $19.00 - $26.50 hour *Offered pay rate will be based on education, experience, and healthcare credentials. Requirements:MUST BE bilingual with at least one of these languages: Spanish, FrenchBachelor's Degree from an accredited college or university4 years of full-time experience in interviewing, investigation, or related fields such as credit and collection follow-up or bookkeeping IN A HEALTHCARE SETTING.Front-End Responsibilities:Contact insurance companies to verify coverage, obtain prior authorizations, and document approvals in the system.Educate patients on their financial responsibilities, provide cost estimates, and arrange payment plans when necessary.Assist with processing pre-authorizations, documenting responses, and following up as needed.Back-End Responsibilities:Prepare and submit accurate claims (both paper and electronic), ensuring timely reimbursement from payers.Process rejections and denials, post payments from insurance and patients, and reconcile accounts for accuracy.Generate and review patient balance aging reports, follow up on outstanding accounts, and escalate issues as needed. *Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Interested? Apply now! About Pride Health Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010. As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty. Equal Employment Opportunity Statement As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Created: 2025-02-23