Hospital Care Investigator

Job Title: Hospital Care Investigator

Location: New York, NY 10037

Schedule: Monday–Friday | 37.5 hours/week (7.5 hours/day)

Start Date: 02/23/2026

Duration: 3-month contract (possible extension based on performance)

Pay Rate: $26–$28 per hour

Job Summary

The Hospital Care Investigator is a key member of the revenue cycle and Patient Financial Services team. This role is responsible for reviewing patient accounts, correcting claim edits, preparing and submitting claims, posting payments, and maintaining accurate patient accounting records. The position supports day-to-day billing operations and ensures timely, accurate communication with payers, patients, and internal departments.

Key Responsibilities

• Review patient accounts for accuracy and completeness
• Prepare, complete, and submit both paper and electronic claims in a timely manner
• Correct claim edits and process rejections, denials, and payer correspondence
• Post all types of payments and apply adjustments as needed
• Process pre-authorizations, document responses, and follow up as required
• Audit patient accounts to ensure billing accuracy and compliance
• Interact with internal departments to resolve billing-related issues
• Provide billing customer service and accurately document all patient interactions
• Process patient statements and enter billing data into accounting systems
• Review past-due accounts and follow up with patients and insurance carriers
• Generate and manage Patient Balance Aging and Insurance Aging reports
• Arrange and document payment plans with patients
• Escalate complex or unresolved accounts to the Supervisor in a timely manner
• Attend required training sessions and perform additional duties as assigned by management

Qualifications

• Bachelor's degree from an accredited college or university OR High school diploma (or equivalent) with 4 years of full-time experience in interviewing, investigation, credit/collections, bookkeeping, or a related field
• Equivalent combinations of education and experience will be considered
• (30 semester credits = 1 year of experience)
• All candidates must have at least a high school diploma or equivalent
• Strong attention to detail and ability to manage multiple tasks
• Proficiency with computer systems and electronic billing platforms
• Excellent communication and customer service skills

Pride Health 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.