Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Roles & Responsibilities:
The Accounts Receivable & Collections Specialist 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.
- 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 workfile 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 of 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
Strength Through Diversity
The Mount Sinai Health System believes that diversity, equity and inclusion are drivers 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 and participate actively as a leader within the Mount Sinai Health System by:
- Serving as the primary resource management representative of the Mount Sinai leadership teams, committees, etc., and acting as the primary executive leader interface between Mount Sinai and key executives from the health systems’ vendors and partners.
- Engaging with relevant thought leaders and policy-makers at the federal and state levels, and representing the Health System as assigned.
- Using a lens of equity in establishing and promoting policies and procedures and providing opportunities for all to thrive.
- Confronting racist, sexist or other inappropriate behavior and challenges exclusionary organizational practices and serving as a role model to promote anti-racist behaviors.
- Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
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 42,000 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 Morningside (formerly 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 comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression.