Senior Accounting Clerk
1 day ago
Montefiore Medical Center is seeking a highly skilled Senior Accounting Clerk to join our esteemed team. The ideal candidate will have a deep understanding of the full Revenue Cycle, experience working with all payors, and a proven track record of resolving billing edits and claim denials.
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 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
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 HIPPA 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. Our values include: Humanity, Innovation, Teamwork, Diversity, and Equity. 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.
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