Hospital Care Investigator/Medical Biller

Job Title: Hospital Care Investigator
Location: New York, NY
Duration: 10/26/2026 12/19/2026
Shift: 9:00 AM-5:00 PM | 11.50 Hours/Day | 34.50 Hours/Week
Pay: $28/hr - $30/hr.

Schedule Notes:

• Medical Biller experience with billing edits, claim denials, and follow-up activities
• Strong backend billing experience, including Epic and insurance billing, claims processing, denial management, and resolution
• Candidate must be available for in-person interviews

Duties:

• Review accounts, correct claim edits, prepare and complete claims for submission to payers
• Post all types of payments and update patient accounting systems
• Complete both paper and electronic claims in a timely manner
• 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, document responses in the system, and follow up as needed
• Audit patient accounts for accuracy and apply adjustments as needed
• Provide billing customer service and ensure conversations are documented accurately
• Process statements and enter information into the database
• Review past-due bills and follow up on past-due accounts
• Generate Patient Balance Aging and Insurance Aging reports and follow up with patients and insurance companies accordingly
• Arrange payment schedules with patients
• Refer accounts requiring escalation to the Supervisor in a timely manner
• Attend all necessary training sessions to effectively perform day-to-day functions
• Perform all other duties as assigned by the Manager or Supervisor

Required Skills & Experience:

• BILLING ACCOUNT MANAGEMENT
• REJECTION PROCESSING
• PATIENT INFORMATION DOCUMENTATION
• ELECTRONIC CLAIMS PROCESSING
• PAPER CLAIMS PROCESSING
• ESCALATION REFERRAL
• BILLING CUSTOMER SERVICE
• STATEMENT PROCESSING
• DENIAL PROCESSING
• ADJUSTMENT APPLICATION
• PRE-AUTHORIZATION PROCESSING
• PATIENT ACCOUNT AUDITING
• PAST DUE ACCOUNT FOLLOW-UP
• PATIENT BALANCE AGING REPORT GENERATION
• INSURANCE AGING REPORT GENERATION
• PAYMENT SCHEDULE ARRANGEMENT
• DATABASE ENTRY
• TRAINING ATTENDANCE

Education:

• 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, and four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping; OR
• Education and/or experience equivalent to the above
• College education may be substituted for experience at a rate of thirty (30) semester credits equivalent to one (1) year of experience
• 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

Required Certifications & Licensure:

Languages:

• English Read, Write, Speak