Medical Billing Specialist II

1 month ago


New York, New York, United States Mount Sinai Medical Center Full time

**Job Title:** Medical Billing Specialist II

**Company Overview:** Mount Sinai Medical Center is one of the largest academic medical systems in the New York metro area, with a mission to advance health for all people everywhere.

**Salary Range:** $58,661 - $87,505.56 Annually

Job Description:

This role performs specialized coding services for inpatient and outpatient medical office visits, reviews physician coding and provides updates, and provides comprehensive financial counseling to patients. Responsibilities include setting patient expectations, discussing financial options, payment plans, and resolving unpaid balances.

**Key Responsibilities:**

  • Verifies insurance and registration data for scheduled office, outpatient, and inpatient procedures.
  • Reviews encounter forms for accuracy and obtains pre-certifications for scheduled admissions.
  • Enters office, inpatient, and/or outpatient charges with accurate data entry of codes and posts payments in IDX.
  • Runs and works missing charges, edits, denials list, and processes appeals.
  • Provides comprehensive denial management to facilitate cash flow and tracks, quantifies, and reports on denied claims.

The ideal candidate will have an Associate's Degree preferred and 5 years of experience in medical billing or health claims, with experience in IDX billing systems in a healthcare or insurance environment, and strong familiarity with ICD/CPT coding.

Required Skills and Qualifications:

* Associate's Degree preferred

* 5 years of experience in medical billing or health claims

* Experience in IDX billing systems in a healthcare or insurance environment

* Strong familiarity with ICD/CPT coding

Licensing: None but CPC strongly preferred (required in Oncology)



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