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Mount Sinai Health System · 4 months ago

Billing Coordinator - Accounts Receivable-MSH

New York, NY

Full-time

Onsite

Entry Level

2+ years exp

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, dedicated to delivering outstanding patient care. The Billing Coordinator is responsible for ensuring unpaid and partially paid claims are resolved efficiently, monitoring collections, and responding to inquiries while maintaining compliance with guidelines.

Health CareHospitalMedical

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