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Roles & Responsibilities:
Responsible for directing and coordinating overall functions of revenue cycle activity, ensuring maximization of cash flow while improving patient, physician and customer relations. This includes accountability for front and back-end functions, daily reconciliation, resolution of billing inquiries and patient/caregiver education on the billing process. May function as liaison between patient and other Mount Sinai departments (Hospital or FPA) in management of patient billing inquiries.
- Plans and directs registration, patient insurance, billing/collections and data processing to ensure accurate patient billing and efficient account collection.
- Manages practice/department within the established budget, including annual planning, and develops monthly status reports.
- Supervises billing staff.
- Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
- Establishes and implements a system for the collection of delinquent accounts, ensuring third-party payors are contacted.
- Establishes and recommends credit and collection policies. Makes recommendations for improvement.
- Solves difficult payment and associated Mount Sinai practices or network problems (whether Hospital or FPA based).
- Audits problem accounts and takes appropriate action to achieve amicable outcome between patient and the Medical Center.
- May meet with new patients and caregivers in assigned department(s) to orient them to billing processes and expectations.
- Maintains contact with Medical Records and other departments to obtain and analyze additional patient information to document and process billings.
- Reviews operative reports and pathology to recommend correct coding and submission.
- Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently.
- Develops and oversees business systems and works with Information Technology to ensure timely and accurate implementation.
- Initiates and answers pertinent correspondence. Prepares operational and financial reports and analysis, noting progress as well as adverse trends. Makes appropriate recommendations or conclusions. Maintains required records and files.
- Monitors daily operating activities of assigned department and makes suggestions necessary for improved workflow and efficiency.
- Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payor regulations.
- Attends administrative meetings and participates in committees as requested. Conducts special projects and studies, as directed.
- Acts as liaison with all levels of administration and faculty in the coordination of operational activities to achieve directives and facilitate problem resolution.
- Participates in professional development activities and maintains professional affiliations.
- Maintains confidentiality as regards to patients accounts status.
- Assists in the planning of short and long-range goals for the department, unit or division. Prepares and evaluates proposals to implement new programs and expand existing ones.
- Baccalaureate degree in business administration or related field. CPC certification; Master’s Degree in business or related field preferred.
- 5 years experience in Hospital billing.
Strength Through Diversity
The Mount Sinai Health System believes that diversity and inclusion 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 healthcare delivery together.
We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have 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 hospitals, including Mount Sinai Beth Israel, Mount Sinai 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.