| 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 Expediter III
Job Description:
The Senior Billing Expediter may be responsible for registration, insurance verification, charge entry and preparation of standard reports, claims edits, accounts receivables, payment postings and preparation of refund requests as needed. In addition, will assist with credentialing and medical coding aspects of the practice when appropriate. May also train or assist other billing personnel.
1. Charge Entry: Posts charges for services; reviews encounter forms for accuracy; ensures correct data entry of codes; ensures charges are entered/processed by the specific deadline; and assists with the verification of reports.
2. Customer Service Inquiries: Responds to patient statement inquiries, patient complaints, and works patient correspondence on timely and accurate basis. Adheres to all customer service guidelines and follows Revenue Management Manual policies.
3. Payment Posting: Posts payments in the system in accordance to policies and regulations. Makes transfers to appropriate financial class in the Billing System. Distributes payment batches for postings and collections.
4. Edits: Reviews, works and clears claims and TES, eCommerce and BAR edits. Prepares claim edit reports for management review.
5. Authorization and Insurance Verification: Verifies insurance for Non-Invasive procedures and obtains authorization and referrals when needed. Obtains clinical data such as previous reports and lab results from referring physicians in order to expedite authorizations. Enter all patients' correct demographcs and insurance info into IDX.
6. Cash Control: Logs payments in the system. Monitors reconciliation of cash transactions. Creates and monitors refunds in the system. Prepares cashier reports as requested.
7. Credentialing: Completes enrollment and credentialing documents for commercial and federal payers. Contacts insurance companies to investigate discrepancies. Completes appropriate enrollment forms for new physicians. Investigates complex unpaid claims.
8. Performs other duties as assigned.
Job Qualifications:
High School Diploma or GED
Preferred: Associate Degree
Minimum of 3 years experience in the healthcare industry working with a computerized medical system
Preferred: Experience with IDX Billing System; DBMS
*Ability to read, understand and follow oral and written instructions
*Ability to work independently and prioritize tasks
*Must have strong communication skills
*Must be detail oriented
*Excellent interpersonal and customer service skills
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