Senior Accounting Clerk
2 weeks ago
Montefiore Medical Center is seeking an experienced Accounts Receivable professional to join our team. The ideal candidate will have a strong understanding of the full Revenue Cycle, including experience working with payors, billing regulations, and EPIC workflows.
Key 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.
• Maintains account notes detailing progress on collecting open aged receivables &/or disputes.
• Prepares appeal letters to insurance carriers 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.
• Identifies 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.
Requirements:
• 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 HIPAA guidelines.
• Must be able to apply policy and procedure to make independent decisions to secure reimbursement.
About Montefiore:
Montefiore Medical Center is a premier academic medical center that transforms health and enriches lives. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.
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