Mount Sinai Medical Center
Biller- Oncology Claims Follow-Up/Billing- Corporate East 42nd Street Full-Time
Mount Sinai Medical Center, New York, New York, us, 10261
Description
Biller- Oncology Billing- Corporate East 42nd Street Full-Time Days The Biller is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. The Biller demonstrates proficiency in these processes to facilitate accurate and timely payment of claims and collection.
Responsibilities
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 updates 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. Other relevant duties as assigned.
Qualifications
HS/GED; Associates Degree is preferred. 1-2 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. Collective bargaining unit: SEIU 1199-MSH
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 for the role is $26.0175 - $28.2455 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.
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Biller- Oncology Billing- Corporate East 42nd Street Full-Time Days The Biller is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. The Biller demonstrates proficiency in these processes to facilitate accurate and timely payment of claims and collection.
Responsibilities
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 updates 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. Other relevant duties as assigned.
Qualifications
HS/GED; Associates Degree is preferred. 1-2 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. Collective bargaining unit: SEIU 1199-MSH
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 for the role is $26.0175 - $28.2455 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.
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