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Senior Hospital Care Investigator - Transfer Opportunity for Permanent Incumbents (Sr HCIs) and/or Promotional Opportunity for Permanent HCIs Only (Provisional Appointment)
**About NYC Health + Hospitals** NYC Health + Hospitals/Bellevue is America’s oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue’s clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children’s Psychiatric Emergency Program; and Cancer Services. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. **Job Description** **Responsibilities**: Under the general supervision of the Coordinating Manager, and with latitude for the exercise of independent initiative and judgment, this position is responsible for performing, but not limited to, supervising the HCI staff and also performing the following: - Verification of insurance eligibility and benefits for all patients requesting Advanced Imaging Services. - Verify that the HAR is created for all Advanced Imaging Procedures. - 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. - Check Media Manager for patient information and or copy of their documentation that is not listed on the IFS - (Interactive Face Sheet) for ex: (Insurance, H&H Options, NYC Care Identification, and additional documentation). - Accurately update and revise Demographic, Biographic, and Insurance information in our Patient EPIC System on all IFS accounts to reflect the most current data. - Ensure appropriate notation has been documented in the Notes section under the patient referral in EPIC for - MRI, CT's, NM, IR and PET scan services. This also includes any other systems associated with processing Advanced Imaging procedures. - Submit online authorization request to Evicore, AIM, Health Help, UHC and any other Insurance Companies for patients scheduled for Imaging Services. - Follow-up with the insurances for authorization approvals, denials, or to submit additional information within two-three business days. - 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 or phone call when deemed necessary. Be sure to include as many providers within the service. This will include request for additional notes, denials, change of CPT codes and any other correspondence received from the initial request. - 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. **Minimum Qualifications** Six months of service as a Hospital Care Investigator. **Salary Range** $66,114.00
