Billing Coordinator-Senior Generalist - Surgery

Mount Sinai – New York, NY

Strength Through DiversityGround breaking science. Advancing medicine. Healing made personal.
Billing Coordinator Senior Generalist Surgery, 2457240
The Senior Billing Coordinator (Generalist) is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.
Roles & Responsibilities:

  • 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.
  • 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 in 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 updates 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.
  • 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.

  • Requirements:
  • Education: Associates Degree or high school diploma/GED plus 3 years of relevant experience
  • Experience: 3 years of experience in medical billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding.
  • CPC Preferred
  • Training in computerized medical billing
  • Strong ability in analysis and research

  • Strength Through Diversity
    The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we are as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinais unrivaled record of achievement, education and advancement as we revolutionize medicine together.
    We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
    Explore more about this opportunity and how you can help us write a new chapter in our story!
    Who We AreOver 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
    Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Lukes, and New York Eye and Ear Infirmary of Mount Sinai.
    The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.
    EOE Minorities/Women/Disabled/Veterans

    All Jobs in New York, NY

    • Billing Coordinator-Senior Generalist - Surgery

      Mount Sinai New York, NY

      View Job
    • Billing Coordinator-Senior Generalist - Surgery

      Mount Sinai New York, NY

      View Job
    • Billing Coordinator - Senior Generalist - Surgery

      Mount Sinai New York, NY

      View Job
    • Billing Coordinator -Senior Generalist - Surgery

      Mount Sinai New York, NY

      View Job
    • Billing Coordinator-Senior Generalist - Surgery

      Mount Sinai New York, NY

      View Job
    • Billing Coordinator, Senior Generalist - Surgery

      Mount Sinai New York, NY

      View Job
    • Billing Coordinator - Senior Generalist, Surgery

      Mount Sinai New York, NY

      View Job
    • book keeper

      AFT Custom Marble & Granite Brooklyn, NY

      View Job
    • File Clerk/Receptionist

      JUVA Skin & Laser Center New York, NY

      View Job
    • Scheduling Coordinator

      AFT Custom Marble & Granite Brooklyn, NY

      View Job
    • Office Assistant

      Brooklyn Historical Society Brooklyn, NY

      View Job

    Featured Articles

    Want OPT Extension? Here Are Some Tips

    25 September 2015

    Optional Practical for international students is of 12 months long. It can be carried out in chunks while the student is pursuing the graduation. Once the graduation is completed, they have to use the OPT time period as one whole slot. After the OPT work status end th

    read more..

    SAP PM Online Training Complete Content

    02 May 2016

    SAP PM stands for SAP Plant Maintenance. It operates overall maintenance business functions and processes. This application can be used as a standalone management system. It includes planning tasks, execution and maintenance of the activities involved in PM. It comprises of following acti

    read more..

    Reasons To Take Up BA QA Training and Placement in USA

    24 September 2015

    Business Analyst’s work is related to company’s business where the person has to work with client mapping and defining the business requirements. Whereas the term QA means Quality Analyst who develops, executes and test the code for the software and also the working of software. Their duty is to

    read more..

    JAVA Programming With Web Service

    20 April 2016

    Java web services are a way of communication allowing interoperability between different applications. This application provides two main java web services API, namely JAX-WS (for SOAP web services) and JAX-RS (for RESTful web services). This application can be easily accessed by other languages lik

    read more..

    Thanks For Your Feedback

    Attach A Resume First