Data Specialist

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

 
Roles & Responsibilities: 
  • Responsible for following-up on all third party receivable activities, self pay claims, and denials. Posts, reviews, and follows up on all correspondence from carriers.  Communicates to patient, via telephone and company form letter, the details of the outstanding account.   Researches refund requests and prepares request for managerial approval

     

    Essential Duties and Responsibilities

    1.      Contacts the carrier, by telephone, for current status of accounts                 

    2.      Follows-up on ticklers on a timely manner in work files         

    3.      Re-bills outstanding claims as necessary; obtains proper documentation for bill to be accurately paid by the carriers (referrals, operative notes, etc.)           

    4.      Documents all follow up activities in IDX or PCS systems according to department policy             

    5.      Corrects all edits generated by IDX reporting and electronic submission exception reports  

    6.      Prepares appeals and insurance inquiries                   

    7.      Responds to daily mail regarding patient/insurance information                  

    8.      Resubmits remaining balances from primary payors of bills to secondary payors (coordination of benefits)             

    9.      Updates patient demographic information accordingly        

    10.  Responsible for rejection posting         

    11.  Answer phones and responds to inquiries regarding patient billing

     

    Requirements: 

     

    Education Requirements

    High School Diploma or equivalent is required.

     

     

    Experience Requirements


    2-3 years of professional billing experience preferably in a physician practice or Faculty Practice Plan. 


 

 
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

 

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