Mount Sinai
New York, NY
Description Responsible for multiple components of the billing process for specialized or complex pre and post-surgical procedures, including coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to problems or questions on benefit eligibility and reimbursement procedures. Independently engages or participates in the negotiation process with third party carrier Medical Directors and other representatives. Coordinates activities related to data entry of billing and mentors less senior billing staff on coding and other items. Demonstrates proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection.Maintains open dialogue with the Department Administrator and/or Revenue Cycle Manager on billing activity and current concerns.
Responsibilities 1. Performs specialized coding services for complex or more specialized inpatient and...