- Verifies insurance and registration data for scheduled outpatient/inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre-certification for scheduled surgeries and admissions.
- Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures.
- May run and work missing charges, edits, denials list and process appeals. Posts denials on a timely basis.
- Posts all payments as appropriate in the billing system.
- May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff.
- Works daily Accounts Receivable accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims, and writes appeal letters.
- Researches unidentified checks sent to other departments.
- Works credit balance report to ensure adherence to government regulations/guidelines.
- Identifies billing issues for resolution; may provide recommendations.
- Identifies and resolves credentialing issues for department physicians.
- Meets with practice management or physicians on a scheduled basis to review Accounts Receivable and current billing concerns.
- May be responsible to prepare and verify office hours schedules.
- May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments.
- May work Patient keeper work queue for inpatient encounters.
- May approve EPIC work queue for all outpatient encounters.
- May prepare TOS deposits in Sinai Central.
- Maintains working knowledge and currency in third party payor requirements.
- Serves as mentor and trainer for new or less experienced Billers.
- Other relevant duties as assigned.
- HS/GED; Associates Degree is preferred
- 3+ years of experience in medical billing or health claims, with experience in billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding
- Certification: CPC preferred
- Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
- Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
- Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
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Senior Biller-Oncology Billing Corporate East 42nd Street Full-Time Days - New York, United States - Mount Sinai Medical Center
Description
Senior Biller-Oncology Billing Corporate East 42nd Street Full-Time Days
The Senior Biller is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting.
The Senior Biller demonstrates proficiency in these processes to facilitate accurate and timely payment of claims and collection, and is considered a subject matter expert for those less experienced.
ResponsibilitiesCollective bargaining unit:
SEIU 1199-MSH
SEIU 1199 at Mount Sinai Hospital, 51- PFS 633 Third Avenue - 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:
We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance.
We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.
Explore more about this opportunity and how you can help us write a new chapter in our history"About the Mount Sinai Health System:
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education.
Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment.
The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers.
We are consistently ranked by U.S.News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked:
No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S.
News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties.
The Icahn School of Medicine at Mount Sinai is ranked No.14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.
Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.The Mount Sinai Health System is an equal opportunity employer.
We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression.
We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve.
Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.
"EOE Minorities/Women/Disabled/Veterans
Compensation
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 or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
