Financial Specialist

Job Description

The Financial Specialist provides customer service to all patients regarding billing and collection activities. Assists the Revenue Cycle Manager and Administrator with Accounts Receivable activities to ensure that all revenue cycle functions for the Mount Sinai Faculty Practice are performed in an accurate and timely manner to maximize revenue.

Duties and Responsibilities
-Provide customer service to all patients that present or call the FPG office.  Research and update patient financial information in appropriate billing platform to help facilitate the submission or resubmission of claims. Collect patient payments and follow policy and procedure to update the patients’ accounts as well as properly record and transfer those payments to Finance for bank deposit. 

-Perform all A/R function including but not limited to, verification of insurance, pre-certifications for visits and surgical procedures, as well as deposits and reconciliation of any front end patient payments, such as co-pays and self-pays.

-Review and reconcile reports and charges entered for billing by the coding team to ensure that all charges are submitted in a timely manner.

-Work with Credentialing staff and Billing Manager to maintain credentialing database by updating and following up on expirations and renewals of physician credentialing.

-Work with the billing manager, billing vendor and insurance carriers to follow up on and review any claim rejections and/or denials to ensure timely payment of claims.

-Assist in obtaining requested information from billing vendor to expedite the submission and processing of claims. 

-Assist the Billing Manger for the Private Practice (FP1A) with various duties as it relates to the operations and revenue for the practice. 

-Assist Practice Administrator in following up on IT issues for the practice and obtaining new hire access and training.

-File all printed inpatient admissions, follow-up notes and inpatient consult sheets.

-Perform other related departmental duties as assigned or requested, which may include tasks  not listed in the job description.

-Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations.

-Bachelors degree preferred. Advanced medical billing and computerized billing system training required.

-2 years in healthcare setting and billing experience preferred.

-Knowledge of working with CPT and ICD.

-Electronic claims processing preferred.

-Proficient in MS Office-Excel.

-Excellent organizational skills.

-Excellent communication and customer service skills.

-Knowledge of medical terminology and anatomy.

-Strong attention to detail required.

The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.
EOE Minorities/Women/Disabled/Veterans

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