Financial Specialist (Collections) Institutional Review Board
Share
Job Location:
New York City, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Department:
Job Summary
The Financial Specialist is responsible for billing and collection activities which may include verification of insurance pre-certifications deposits and reconciliation of co-pays and self-pays updating financial information in appropriate software applications and providing information on billing matters.
Responsibilities
- Ensures claim edits and accounts receivables are resolved in an efficient and timely manner.
- Monitors collections for Institutional Review Board.
- Resubmits claims for payment with appropriate updates and documentation as needed.
- Responds to patient and third party inquiries; researches and resolves problems; corrects errors and refers most complex issues to supervisor.
- Reviews correspondence and rejection data from insurance carriers; posts rejections and balances in appropriate financial classification.
- Transfers 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.
- Prepares and submits referring physician updates and other major dictionary or master file request to supervisor for approval.
- Assists Billing Manager with the training of new hires.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Performs other related duties
Qualifications
- High School graduate or equivalent. Advanced medical billing and computerized billing system training.
- 3 years healthcare billing experience working with CPT and ICD (coding and CCI edits.
- Electronic claims processing preferred.
Required Experience:
IC
Key Skills
About Company
Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled ... View more
