Senior Accounting Clerk

5 days ago


Yonkers, New York, United States MONTEFIORE MEDICAL CENTER Full time
Job Summary

We are seeking a highly skilled and detail-oriented Senior Accounting Clerk to join our team at Montefiore Medical Center. As a key member of our Professional Services department, you will play a critical role in ensuring the accuracy and efficiency of our revenue cycle operations.

Key Responsibilities
  • Review and Resolve Billing Edits and Claim Denials: Utilize your analytical skills to research payor policies, review billing records, and understand EPIC workflows to resolve billing edits and claim denials.
  • Submit Corrected Claims/Appeals: Submit corrected claims/appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower A/R.
  • Maintain Account Notes: Maintain accurate and detailed account notes documenting progress on collecting open aged receivables and/or disputes.
  • Prepare Appeal Letters: Prepare appeal letters to insurance carriers with necessary information to accompany appeals.
  • Collaborate with Team: Collaborate with team members on additional workflows and/or job aids to ensure seamless operations.
  • Meet Internal and Client Standards: Complete all assigned work in a timely manner based on internal, client, and/or payer standards.
  • Identify Root Causes of Denials: Identify root causes of denials and communicate findings to management to enhance the system, work with contracting on payor issues, or communicate departmental workflow issues to the engagement manager.
Requirements
  • Education and Skills: 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 and Analytical: Independent, detail-oriented individual with strong analytical skills.
  • Communication Skills: Good verbal and written communication skills.
  • Knowledge of Health Insurance Reimbursement: Must have knowledge of health insurance reimbursement and billing requirements.
  • HIPAA Guidelines: Must be familiar with HIPAA guidelines.
  • Policy and Procedure Application: Must be able to apply policy and procedure to make independent decisions to secure reimbursement.
About Montefiore Medical Center

Montefiore Medical Center is a premier academic medical center that transforms health and enriches lives. Our values include Humanity, Innovation, Teamwork, Diversity, and Equity.



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