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Mount Sinai Health System · 3 days ago
Senior Billing Coordinator - Accounts Receivable
United States
Full-time
Remote
Mid Level
$20.85/hr - $31.22/hr
3+ years exp
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Insider Connection @Mount Sinai Health System
Responsibilities
Follows up on submitted claims, monitors unpaid claims and resubmits claims with appropriate corrections and documentation.
Works declines and processes appeals.
Ensures that established billing targets for collections, gross, days in A/R and net collection ratios are met.
May analyze claims system reports to ensure that underpayments are correctly identified and collected from key carriers.
Works with payer and provider representatives to negotiate higher rates for claim payments.
Responds to patient and third party inquiries, researches and resolves complex claims and corrects errors.
Reviews correspondence and rejection data from insurance carriers; posts rejections and performs reconciliations.
May transfer secondary balances to appropriate financial class and provide documentation for processing the claims.
Reviews Credit Letter Sent (CLS) and transfers balance to appropriate financial class and dunning level.
Reviews, works and clears electronic and claims edits daily; summarizes and forwards non-workable edits to supervisor for resolution.
May process refunds for supervisory approval.
Prepares and submits referring physician updates and other major dictionary requests to supervisor for approval.
Mentors less experienced staff and assists Billing Manager with the training of new hires.
Maintains strictest confidentiality; adheres to all HIPAA and Federal Payor guidelines and regulations.
Performs other related duties
Qualification
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Required
Associates Degree or HS Diploma/GED plus two years of related experience.
3 years healthcare billing experience required. Familiarity with CPT and ICD (coding and CCI edits).
Electronic claims processing preferred.
Company
Mount Sinai Health System
The Mount Sinai Health System is an integrated health care system providing exceptional medical care to their local and global communities.
10,001+ employees
Funding
Current Stage
Late StageTotal Funding
$41.8MKey Investors
Multiple Myeloma Research FoundationSteven & Alexandra Cohen FoundationLifeSci NYC
2023-11-02Grant· $7M
2023-11-02Grant· $7M
2023-09-20Grant· $6.2M
Leadership Team
Beth Oliver
Senior Vice President and Chief Nursing Executive
B
Brent Estes
Senior Vice President and Chief Managed Care Officer
Recent News
2024-06-04
Healthcare Finance News
2024-06-04
Crain's New York Business
2024-06-04
Company data provided by crunchbase
