Mount Sinai Careers

BILLING COORDINATOR-SENIOR GENERALIST

New York, New York
Professional / Managerial / Administrative


Job Description


Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
 
 
What You’ll Do
Under the supervision of the PFS Manager and/or Senior Director, responsibilities include various aspects of the Outpatient Cancer Center receivable management for the Patient Financial Services (PFS) Department. Candidate must have the ability to work in a “stratified process environment.”
 
  • Understand hospital based (article 28) billing for all outpatient Cancer Center encounters.
  • Reviews and analyze the ATB for aged accounts that have not been resolved.  Analyze accounts and take next steps to drive accounts to closure.
  • Contract compliance-research, review and reprocess previous disposition accounts for additional revenue.  This includes but is not limited to zero accounts, carved out contract service items and/or rate adjustments.
  • Reconcile patient accounts receivable deposits including posting and balancing.
  • Work on ALL TRAC buckets.  Utilizes Stockamp Trac System as your primary follow-up work driver.
  • Keeps up to date on all Cancer related LMRP’s , fee scheduled and CDM changes in the Eagle system.
  • Understanding third party contracts and translating the salient terms into appropriate action(s).  Knowledgeable with outpatient cancer service/billing guidelines.
  • Retroactive rate adjustments – re-bill, adjust and/or void claims.
  • Prepares weekly excel spreadsheets.
  • Prepares for weekly TRAC listings; focus meet, payer meet(s) etc.
  • Various re-bill projects.
  • Accounts receivable adjustments; credit balance review and preparation.
  • Patient Accounts System (Eagle) updates – review and reprocess accounts when PFS systems updates are made.
  • Work all assigned listings from Patient Accounts System.
  • Prepare listings for third party payers – listings to include open receivables on delinquent accounts receivables.
  • Review accounts through various third party websites.
  • Coordinate with outside party’s for account validation.
  • Communicate and work with inter/intra departments.
  • Track specific payer outcomes.
  • Attend seminars and workshops as required.
  • Ability to adapt to any new systems implemented.
  • All other assignments assigned by the manager, senior director and/or vice president.



 

What You’ll Bring:
  • Associates Degree or high school diploma/GED plus 3 years of relevant experience
    Medical/hospital accounts receivable experience helpful. 
    Accounts receivable knowledge (hospital/third party).
    Cancer billing, guidelines and regulation knowledge a plus. 
 


 

 
Strength Through Diversity

The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
 
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care. 

Explore more about this opportunity and how you can help us write a new chapter in our story! 

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
 
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
 
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