Accounting Clerk-customer Service-patient Financial - New York, United States - Mount Sinai

Mount Sinai

Verified Company

New York, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Description Accounting Clerk-Customer Service Patient Financial Services-Corporate East 42nd Street

Full-Time Days**
Responsibilities
Analyzes accounts to resolve issues that result in billing and/or payment delays.
Prepares schedules on work findings, cash postings, global arrangements (splits) and all other schedule that is assigned.
Prepares all downloads of billing files from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers.
Bills and followup on specific specialized accounts receivable (bilingual preferred).
Collects form of payment(s) (deposits), for elective, maternity, international, deductible/coinsurance/copay and any other patient responsibility. This collection can be prior admission, during admission and/or after admission(bilingual preferred)
Obtains and validates patient's third party health insurance. Coordinates and prioritizes insurance within PFS Systems when more than one (1) valid insurance exists. Validation of third party insurance is obtained via various eligibility systems, calls to third party carriers and/or patients ((bilingual preferred)
Edits unbilled/unprocessed accounts (billing) using PFS HIS Systems, Clearing House Claim Scrubber and/or any payer websites available for claim correction of billed accounts.
Bill claims to third party payers either electronically or manually.
Corrects denials and rebills accounts through PFS Systems.
Posts all manual charges into the patient accounts system. Inputs appropriate data elements into PFS Systems for specific charge codes (value codes, condition codes, etc).
Post payments (manual and electronic kickouts). Post adjustments and reconcile/disposition accounts when necessary.
Reconcile payments on accounts to ensure that payments agree with negotiated rates. Reviews listings of accounts to ensure payments are received when there are rate changes and/or annual rate increase within said contracts.
Followup all billed third party/selfpay accounts. These accounts are followed up based on parameters set within area of assignment and can be different based on payer. Followup action(s) examples can be rebill of account, transfer, assignment of different and/or correction of insurance data, account resolution, phone call, and inquiry through third part website or call to patient. These are just examples and are not limited to these suggestions.
Distributes and sorts departmental mail received.
Correspondence is noted on individual patient accounts. Correspondence is worked within PFS Systems based on the parameters set with in the department all other is distributed to appropriate work area.
Requests Medical Records and communicates correspondence with interoffice departments.
Sends bills to patients for selfpay balances (bilingual preferred).
Responds to patient calls or written correspondence regarding billing issues. Proper customer service techniques should be used.
Scan documents of assignment.
Reconcile vender accounts. Work payment remittance and closed report/files received by outside venders.
Perform the preparation of patient and third party refunds.
Respond to third party audits.
Account resolution performed on accounts with credit and debit balances.
Performs other related duties as required.
Attends Workshops, weekly unit meets and any other meeting assigned.
Ensures timely completion of required work assignments.

Qualifications

Education: High School Diploma/GED
Experience: Excellent communication skills (oral and written)
The ability to work independently and on a team
Knowledgeable with the Patient Accounts System(s): Eagle, MEMS, Trac/On-Trac, Cirius, FSS, Cerner, Various Insurance Websites preferred.
Knowledge of Microsoft Excel and Word (35 WPM min).

Collective bargaining unit:
SEIU 1199-MSH

Compensation Statement

The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements.

The salary range for this role is $ $25.06 Hourly. Actual salaries depend on a variety of factors, including experience, education, and hospital need.

The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

SEIU 1199 at Mount Sinai Hospital, 51- PFS Self Pay/Financial Intake - MSH, Mount Sinai Hospital

Employer Description

Strength Through Diversity
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care.

When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together.

We invite you to participate actively as a part of the Mount Sinai Health System team by: