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BILLING COORDINATOR-SENIOR GENERALIST
The Mount Sinai Health System
Department of Surgery - 2271128
Do you have what it takes to wear the badge?
The Mount Sinai Health System’s commitment to excellence extends beyond delivering world-class health care. The System’s ongoing success is dependent upon our highly motivated, nonclinical professionals working to improve business operations. Our leadership team is driven to provide exceptional service by cultivating a workforce that is dedicated to upholding Mount Sinai’s mission of delivering innovative, breakthrough medicine with compassion and integrity.
Are you ready to discover the world of limitless possibilities that comes with wearing the badge? Explore more about this opportunity and how you can help us write a new chapter in our story of unrivaled patient care!
The Senior Billing Coordinator (Generalist) is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.
Duties and Responsibilities:
- Verifies insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre-certification for scheduled surgeries and admissions.
- Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures.
- May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a timely basis.
- Posts all payments in IDX using approved methodologies.
- May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff.
- Works TES, BAR and eCommerce edits for the division, department and physicians. Proficient in moderate to complex encounters and problematic accounts.
- Works daily Accounts Receivable accounts via online work-file and/or hard-copy reports; checks claims status, re-submits claims, and writes appeal letters.
- Researches unidentified checks sent to other departments.
- Works credit balance report to ensure adherence to government regulations/guidelines.
- Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations.
- Identifies and resolves credentialing issues for department physicians.
- Meets with practice management, leadership and/or physicians on a scheduled basis to review Accounts Receivable and current billing concerns.
- Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in training new staff.
- May approve EPIC work queue for outpatient encounters.
- May be responsible to prepare and verify office hours schedules.
- May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments.
- May prepare TOS deposits in Sinai Central.
- Maintains working knowledge and currency in third party payor requirements.
Associates Degree or high school diploma/GED plus 3 years of relevant experience; CPC Preferred; Training in computerized medical billing
- 3 years experience in medical billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding.
- Excellent organizational skills
- Excellent communication and customer service skills
- Knowledge of medical terminology and anatomy
- Strong attention to detail and ability to multitask
- Excellent calculation, verbal and communication skills
- Strong ability in analysis and research