Mount Sinai Careers

Billing Coordinator

New York, New York
Professional / Managerial / Administrative


Job Description

RESPONSIBILITIES

A. Clinical/Technical/Service

1.     Provides statistical, data and research support to the Department of Cardiology

2.     Ensures that accurate billings are generated from the computerized billing system

3.     Posts daily bank deposits and co-payment

4.     Ensures that bills are complete and mailed to Third Party carriers on regular basis

5.     Supervises and coordinates verification of prospective patients’ insurance to determine coverage for services

6.     Monitors payments and rejections to maximize reimbursement, determine problems that exist with the different insurance companies

7.     Responds to all correspondences, and denial from patients and the insurance companies

8.     Resolves billing related problems including utilization of alternative secondary insurance benefits

9.     Reviews accounts receivable on a regular basis and identify uncollectible

10.  Provides data and statistical reports to the Practice Administrator and physicians

11.  Assists in the development of databases and implementation of software to support Departmental administrative functions

12.  Meets with the Administrator on a regular basis to go over issues and concerns

13.  Initiates new projects and makes suggestions

14.  Identifies and processes refund of any overpayment from patients and or insurance companies

15.  Provides basic computer troubleshooting and support to other Departmental staff

16.  Reconciles daily deposits receipts to monthly reports for each physician

17.  Monitors electronic edit lists, corrects any errors and resubmits claims

18.  Collects, prepares and distributes monthly statistics

19.  Provides assistance, guidance and direction to patients and visitors; ascertains the nature of their business and assists and/or directs patients and/or visitors to various departments in the Hospital as appropriate; calls for an escort when necessary

20.  Answers telephone according to Division Protocol, direct calls, takes messages and responds to inquiries regarding department procedures, programs and activities

21.  Provides excellent customer service in a courteous and helpful manner

22.  Follows up on customer needs and requests in a prompt and appropriate manner

23.  Works the monthly Aged Trail balance report s for all practice physicians and sites

24.  Models and maintains a customer service focus demonstrating a courteous and helpful manner

25.  Ensures that month end activities are compiled (posting of late charges or co-payments) and processed before month end closing

26.  Appropriately manages tasks to completion by establishing priorities and considering alternatives

27.  Appropriately escalates issues/problems to the Practice Administrator/ Physicians

28.  Prepares and processes departmental reports and documents

29.  Responds to issues immediately relating to databases

30.  Routinely attends Petrie Support Staff meetings

B. Organizational/Managerial

31.  Participates in the department’s performance improvement activities

32.  Maintains patient/employee confidentiality in the management of information

33.  Observes the Health Care System’s compliance policies

34.  Organizes work to meet scheduled timeframes

35.  Works with other Departmental staff as a team player

36.  Participates in the department’s quality improvement activities

37.  Coordinates PPD screening (s) for all employees in accordance with BIMC policy and procedure

38.  Responsible for coordinating the participation of all employees in institutional surveys; special projects (i.e. Gallup employee survey)

39.  Troubleshoots all computer difficulties

40.  Utilizes the appropriate call out and request for time off process

41.  Utilizes management as a resource for any issues or concerns that require resolution or communication

42.  Observes the Health Care System’s Attendance Policy

C. Educational/Professional Development

43.  Participates in the development of other staff members

44.  Meets regulatory, licensure and annual health assessment requirements

45.  Identifies learning strengths and needs

46.  Utilizes learning resources

47.  Enhances professional growth and development through in-service, conferences and educational programs

D. Communication/Relationships

48.  Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others

49.  Displays courtesy, tact and patience during interactions with all members of the hospital staff and extended community

50.  Demonstrates the ability to effectively communicate with patients, staff and physicians

51.  Utilizes effective communication skills

52.  Adheres to Continuum’s legal and ethical standards

E. Other

53.  May be required to perform other duties as assigned

 

Items 1-52 are essential functions of this position under the Americans with Disabilities Act

Continuum Health Partners is committed to the tenets of diversity and workforce that is strengthened by the inclusion of and respect for our differences

EDUCATION REQUIRED

Undergraduate degree in business related field.

EXPERIENCES AND/OR SKILLS REQUIRED

Proficiency in MS Access, MS Excel, and PowerPoint.  Must have strong organizational, analytical, and communication skills.  Capability to work independently required with ability to prioritize multiple tasks.  Clinical and health care knowledge preferred, but not necessary.  Previous supervisory experience in a health care setting preferred.

LICENSES/CERTIFICATIONS REQUIRED

JOB HAZARDS/PHYSICAL DEMANDS

RESPONSIBILITIES

A. Clinical/Technical/Service

1.     Provides statistical, data and research support to the Department of Cardiology

2.     Ensures that accurate billings are generated from the computerized billing system

3.     Posts daily bank deposits and co-payment

4.     Ensures that bills are complete and mailed to Third Party carriers on regular basis

5.     Supervises and coordinates verification of prospective patients’ insurance to determine coverage for services

6.     Monitors payments and rejections to maximize reimbursement, determine problems that exist with the different insurance companies

7.     Responds to all correspondences, and denial from patients and the insurance companies

8.     Resolves billing related problems including utilization of alternative secondary insurance benefits

9.     Reviews accounts receivable on a regular basis and identify uncollectible

10.  Provides data and statistical reports to the Practice Administrator and physicians

11.  Assists in the development of databases and implementation of software to support Departmental administrative functions

12.  Meets with the Administrator on a regular basis to go over issues and concerns

13.  Initiates new projects and makes suggestions

14.  Identifies and processes refund of any overpayment from patients and or insurance companies

15.  Provides basic computer troubleshooting and support to other Departmental staff

16.  Reconciles daily deposits receipts to monthly reports for each physician

17.  Monitors electronic edit lists, corrects any errors and resubmits claims

18.  Collects, prepares and distributes monthly statistics

19.  Provides assistance, guidance and direction to patients and visitors; ascertains the nature of their business and assists and/or directs patients and/or visitors to various departments in the Hospital as appropriate; calls for an escort when necessary

20.  Answers telephone according to Division Protocol, direct calls, takes messages and responds to inquiries regarding department procedures, programs and activities

21.  Provides excellent customer service in a courteous and helpful manner

22.  Follows up on customer needs and requests in a prompt and appropriate manner

23.  Works the monthly Aged Trail balance report s for all practice physicians and sites

24.  Models and maintains a customer service focus demonstrating a courteous and helpful manner

25.  Ensures that month end activities are compiled (posting of late charges or co-payments) and processed before month end closing

26.  Appropriately manages tasks to completion by establishing priorities and considering alternatives

27.  Appropriately escalates issues/problems to the Practice Administrator/ Physicians

28.  Prepares and processes departmental reports and documents

29.  Responds to issues immediately relating to databases

30.  Routinely attends Petrie Support Staff meetings

B. Organizational/Managerial

31.  Participates in the department’s performance improvement activities

32.  Maintains patient/employee confidentiality in the management of information

33.  Observes the Health Care System’s compliance policies

34.  Organizes work to meet scheduled timeframes

35.  Works with other Departmental staff as a team player

36.  Participates in the department’s quality improvement activities

37.  Coordinates PPD screening (s) for all employees in accordance with BIMC policy and procedure

38.  Responsible for coordinating the participation of all employees in institutional surveys; special projects (i.e. Gallup employee survey)

39.  Troubleshoots all computer difficulties

40.  Utilizes the appropriate call out and request for time off process

41.  Utilizes management as a resource for any issues or concerns that require resolution or communication

42.  Observes the Health Care System’s Attendance Policy

C. Educational/Professional Development

43.  Participates in the development of other staff members

44.  Meets regulatory, licensure and annual health assessment requirements

45.  Identifies learning strengths and needs

46.  Utilizes learning resources

47.  Enhances professional growth and development through in-service, conferences and educational programs

D. Communication/Relationships

48.  Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others

49.  Displays courtesy, tact and patience during interactions with all members of the hospital staff and extended community

50.  Demonstrates the ability to effectively communicate with patients, staff and physicians

51.  Utilizes effective communication skills

52.  Adheres to Continuum’s legal and ethical standards

E. Other

53.  May be required to perform other duties as assigned

 

Items 1-52 are essential functions of this position under the Americans with Disabilities Act

Continuum Health Partners is committed to the tenets of diversity and workforce that is strengthened by the inclusion of and respect for our differences

EDUCATION REQUIRED

Undergraduate degree in business related field.

EXPERIENCES AND/OR SKILLS REQUIRED

Proficiency in MS Access, MS Excel, and PowerPoint.  Must have strong organizational, analytical, and communication skills.  Capability to work independently required with ability to prioritize multiple tasks.  Clinical and health care knowledge preferred, but not necessary.  Previous supervisory experience in a health care setting preferred.

LICENSES/CERTIFICATIONS REQUIRED

JOB HAZARDS/PHYSICAL DEMANDS