Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Roles & Responsibilities:
- Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures.
- Reconcile reports with the providers' bill, to make sure the providers coding optimally.
- Provide education/feedback to the providers on optimal billing and coding for outpatient encounters.
- Provide orientation to the new providers about relevant billing and coding
- Run reports for missing charges and collaborate with providers/practices to ensure timely charge entry.
- May run and work missing charges, edits, denials list on timely basis.
- Posts all payments in Epic using approved methodologies.
- May review physician coding and provide suggestions to physicians and staff.
- Works daily Accounts Receivable accounts via reports; checks claims status, communicates with CBO to re-submits claims, and appeal.
- 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/Office Manager in training new staff.
- May approve EPIC work queue for outpatient encounters.
- Verifies insurance and registration data for scheduled office, outpatient, and inpatient encounters. May be responsible for obtaining pre-certification for scheduled treatments.
- 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 of third party payor requirements.
Requirements:
- Associates Degree or high school diploma/GED plus 2 years of relevant experience
- Certified coder - preferred
- Experience in medical billing or health claims, with experience in EPIC - preferred
Strength Through Diversity
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. 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 invite you to participate actively as a part of the Mount Sinai Health System team by:
- Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential
- Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination
- 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 an inclusive, welcoming and nurturing work environment where all feel they are valued, belong, and are able to professionally advance. We share the belief that all employees, regardless of job title or expertise, contribute to the patient experience and quality of patient care.
Explore more about this opportunity and how you can help us write a new chapter in our history!
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 Morningside ( Formerly 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.
EOE Minorities/Women/Disabled/Veterans
Compensation
The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $40,000.00 - $60,000.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
