Billing Coordinator - Accounts Receivable- CBO

$44,678 - $56,430/Yr

Mount Sinai Health System - New York, NY

Full-time - Entry Level

New York, NY

10,001+ employees

Hospitals

About the position

The Billing Coordinator for Accounts Receivable at Mount Sinai is responsible for managing unpaid and partially paid claims, ensuring they are resolved efficiently and timely. This role involves monitoring collections, addressing discrepancies, and maintaining compliance with HIPAA and federal regulations while providing support to patients and third parties regarding billing inquiries.

Responsibilities

• Follows up on submitted claims, monitors unpaid claims and resubmits claims with appropriate corrections and documentation.
• Works declines and processes appeals.
• Responds to patient and third party inquiries; researches and resolves simple to moderately complex issues; corrects errors and refers complex issues to supervisor.
• Reviews correspondence and rejection data from insurance carriers; posts rejections and performs reconciliations.
• May transfer secondary balances to appropriate financial class and provides documentation for processing the claims.
• Reviews Credit Letter Sent (CLS) and transfers balance to appropriate financial class and dunning level.
• Reviews, works and clears electronic and claims edits daily; summarizes and forwards non-workable edits to supervisor for resolution.
• May process refunds for supervisory approval.
• Prepares and submits referring physician updates and other major dictionary requests to supervisor for approval.
• Maintains strictest confidentiality; adheres to all HIPAA and Federal Payor guidelines/regulations.
• Performs other related duties.

Requirements

• Associates Degree or HS Diploma/GED plus two years of related experience.
• 2 years healthcare billing experience required.
• Familiarity with CPT and ICD (coding and CCI edits).
• Electronic claims processing preferred.