| About The Mount Sinai Hospital
Founded in 1852, The Mount Sinai Hospital is one of the country's oldest and largest voluntary teaching
hospitals. Mount Sinai is internationally acclaimed for excellence in clinical care, education, and scientific research in nearly every aspect of medicine. Mount Sinai's 1,171-bed tertiary-care teaching hospital with a medical staff of nearly 1,800 provides physicians who deliver the most advanced and compassionate inpatient and outpatient care. Located at 98th Street and Madison Avenue. The Mount Sinai Hospital serves Manhattan's Upper East Side of Harlem. Mount Sinai's state-of-the-art facilities include the unique Guggenheim Pavillion, the first hospital designed by internationally renowned architect I.M. Pei. Here, the most advanced scientific tools for diagnosis and treatment join an uplifting ambiance that uses natural light and space to keep patients' spirits bright and promote healing. Senior Billing Coordinator
Job Description:
Under the supervision of the PFS manager and/or Associate Director, responsibilities include various aspects of the Outpatient Cancer Center receivable management for the Patient Financial Services (PFS) Department. Candidate must have the ability to work in a "stratified process environment."
1) Understand hospital based (article 28) billing for all outpatient Cancer Center encounters.
2) Reviews and analyze the ATB for aged accounts that have not been resolved. Analyze accounts and take next steps to drive accounts to closure.
3) Contract compliance-research, review and reprocess previous disposition accounts for additional revenue. This includes but is not limited to zero accounts, carved out contract service items and/or rate adjustments.
4) Reconcile patient accounts receivable deposits including posting and balancing.
5) Work on ALL TRAC buckets. Utilizes Stockamp Trac System as your primary follow-up work driver.
6) Keeps up to date on all Cancer related LMRP's, fee scheduled and CDM changes in the Eagle system.
7) Understanding third party contracts and translating the salient terms into appropriate action(s). Knowledgeable with outpatient cancer service/billing guidelines.
8) Retroactive rate adjustments - re-bill, adjust and/or void claims.
9) Prepares weekly excel spreadsheets.
10) Prepares for weekly TRAC listings; focus meet, payer meet(s) etc.
11) Various re-bill projects.
12) Accounts receivable adjustments; credit balance review and preparation.
13) Patient Accounts System (Eagle) updates - review and reprocess accounts when PFS systems updates are made.
14) Work all assigned listings from Patient Accounts System.
15) Prepare listings for third party payers - listings to include open receivables on delinquent accounts receivables.
16) Review accounts through various third party websites.
17) Coordinate with outside party's for account validation.
18) Communicate and work with inter/intra departments.
19) Track specific payer outcomes.
20) Attend seminars and workshops as required.
21) Ability to adapt to any new systems implemented.
22) All other assignments assigned by the manager, associate director and/or vice president.
Mount Sinai Medical Center is an equal opportunity/affirmative action employer. We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds.
Mount Sinai Medical Center--An EEO/AA-D/V Employer.
Job Qualifications:
High School Diploma or GED
Medical/hospital accounts receivable experience helpful. Accounts receivable knowledge (hospital/third party).
Cancer billing, guidelines and regulation knowledge a plus.
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