Mount Sinai Health System · 10 hours ago

Billing Coordinator - Accounts Receivable- CBO

United States

Full-time

Remote

Entry Level

$21.48/hr - $27.13/hr

2+ years exp

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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 billing experienceCPT codingICD codingElectronic claims processingAssociates DegreeDiploma/GEDEOB discrepancy resolutionPatient inquiries handlingHIPAA complianceConfidentiality adherence