Billing Coordinator - Accounts Receivable @ Mount Sinai Health System | Jobright.ai
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Mount Sinai Health System · 2 days ago

Billing Coordinator - Accounts Receivable

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Responsibilities

Follows up on submitted claims, monitors unpaid claims, and resubmits claims with appropriate corrections and documentation.
Works declines and processes appeals.
Responds to patient and third party inquiries; researches and resolves simple to moderately complex issues; corrects errors and refers complex issues to supervisor.
Reviews correspondence and rejection data from insurance carriers; posts rejections and performs reconciliations.
May transfer secondary balances to appropriate financial class and provides 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.
Maintains strictest confidentiality; adheres to all HIPAA and Federal Payor guidelines/regulations.
Performs other related duties

Qualification

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Healthcare BillingCPTICD CodingCCI EditsElectronic Claims Processing

Required

Associates Degree or HS Diploma/GED plus two years of related experience.
2 years healthcare billing experience required. Familiarity with CPT and ICD (coding and CCI edits.

Preferred

Electronic claims processing preferred.

Company

Mount Sinai Health System

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The Mount Sinai Health System is an integrated health care system providing exceptional medical care to their local and global communities.

Funding

Current Stage
Late Stage
Total Funding
$41.8M
Key Investors
Multiple Myeloma Research FoundationSteven & Alexandra Cohen FoundationLifeSci NYC
2023-11-02Grant· $7M
2023-11-02Grant· $7M
2023-09-20Grant· $6.2M

Leadership Team

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Beth Oliver
Senior Vice President and Chief Nursing Executive
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Brent Estes
Senior Vice President and Chief Managed Care Officer
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Company data provided by crunchbase
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