Mount Sinai Morningside ยท 1 week ago
Billing Specialist - Psychiatry Administration - MSM - Full Time/Days
New York, NY
Full-time
Onsite
Mid Level
$20.46/hr - $30.68/hr
3+ years expMount Sinai Morningside is a part of the Mount Sinai Health System, a leading academic medical institution in New York. The Billing Specialist is responsible for various aspects of the billing and coding process, ensuring accurate and timely payment of claims, as well as providing education and support to providers regarding optimal billing practices.
Hospital & Health Care
Responsibilities
Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures
Extract CPT codes form operative reports and reconcile with the providers bill, to make sure the providers a coding optimally
Collaborate with other coders and provide education/feedback to the providers on optimal billing and coding for outpatient encounters, in-patient consults and procedures/surgeries
Provide orientation to the new providers about relevant billing and coding for neurosurgical encounters
Run reports for missing charges and collaborate with providers/practices to ensure timely charge entry
May run and work missing charges, edits, denials list and process appeals. Posts denials in EPIC/IDX on a timely basis
Posts all payments in IDX using approved methodologies
May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff
Works TES, BAR and eCommerce edits for the division, department and physicians. Proficient in moderate to complex encounters and problematic accounts
Works daily Accounts Receivable accounts via online workfile 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
Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations
Identifies and resolves credentialing issues for department physicians
Meets with practice management, leadership and/or physicians on a scheduled basis to review Accounts Receivable and current billing concerns
Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in training new staff
May approve EPIC work queue for outpatient encounters
Verifies insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre-certification for scheduled surgeries and admissions
May approve Patient Keeper work queue for inpatient encounters
May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments
May prepare TOS deposits in Sinai Central
Maintains working knowledge and currency in third party payor requirements
Qualification
Required
Associates Degree or high school diploma/GED plus 3 years of relevant experience
Certified coder required
Preferred
Experience in medical billing or health claims, with experience in EPIC & IDX billing systems in a health care or insurance environment preferred
Company
Mount Sinai Morningside
At Mount Sinai Morningside, we offer exceptional clinical care and research within the comfort of a neighborhood hospital known for compassion and sensitivity.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Faye Reiff-Pasarew
Deputy CMO, Associate Chief of Hospital Medicine, Assistant Professor of Internal Medicine
Lucy Xenophon, MD, MPH
Chief Transformation Officer
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