Senior Clerk (224493)
Senior Clerk (224493)
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Salary Not Disclosed
1 Vacancy
Job Description
Montefiore Professional Service Department is seeking an Accounts Receivable candidate to join our esteemed team. The individual will have an understanding of the full Revenue Cycle experience working with all payors including Managed Care Governmental and Commercial and be experienced in appealing denied claims.
Responsibilities:
Reviews and resolves billing edits and claim denials from payors by researching payor policies reviewing billing records and understanding EPIC workflows
Submits corrected claim(s)/appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower A/R
Maintain account notes detailing progress on collecting open aged receivables &/or disputes
Prepares appeal letters to insurance carrier with necessary information to accompany appeal
Collaborates with team on additional Workflows and/or Job Aids
Completes all assigned work in a timely manner based on internal client and/or payer standards
Identify root causes of denials to Manager in order to enhance the system work with Contracting on payor issues or communicate departmental workflow issues to the Engagement Manager
Communicates with manager any changes updates or new policies identified through day-to-day functions
Education and skills required:
High school diploma required some college preferred
At least two (2) years experience in a physician billing setting
Experience in the EPIC PB billing system is required.
Independent detail oriented individual with strong analytical skills.
Must have a good verbal and written communication skills.
Must have knowledge of health insurance reimbursement and billing requirements.
Must be familiar with HIPPA guidelines.
Must be able to apply policy and procedure to make independent decisions to secure reimbursement
Department: Professional Services Bargaining Unit: 1199 Campus: YONKERS Employment Status: Regular Full-Time Address: 3 Executive Boulevard Yonkers
Shift: Day Scheduled Hours: 7:30 AM-4 PM Req ID: 224493Salary Range/Pay Rate:$28.49
For positions that have only a rate listed the displayedrate is the hiringrate but could be subject to change based on shift differential experience education or other relevant factors.
To learn more about the Montefiore Difference who we are at Montefiore and all that we have to offer our associates please clickhere.
Montefiore is an equal employment opportunity employer. Montefiore will recruit hire train transfer promote layoff and discharge associates in all job classifications without regard to their race color religion creed national origin alienage or citizenship status age gender actual or presumed disability history ofdisability sexual orientation gender identity gender expression genetic predisposition or carrier status pregnancy military status marital statusor partnership status or any other characteristic protected by law.
N/A
Required Experience:
Senior IC
Employment Type
Full-Time
