Billing Coordinator/accounts Receivable - New York, United States - Mount Sinai Health System

Mount Sinai Health System

Verified Company

New York, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Description
Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and researches refunds. Monitors and ensures that collections, net, gross and days in accounts receivable targets are met.

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

Qualifications

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.
Electronic claims processing preferred.

Pay:
$ $27.13 per hour

Benefits: