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Senior Accounting Clerk

2 months ago


Yonkers, New York, United States MONTEFIORE MEDICAL CENTER Full time
Senior Accounting Clerk

Montefiore Medical Center is seeking a highly skilled Senior Accounting Clerk to join our team. 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 processes.

Responsibilities:
  • Review and resolve billing edits and claim denials from payors by researching payor policies, reviewing billing records, and understanding EPIC workflows.
  • Submit corrected claim(s)/appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower A/R.
  • Maintain account notes detailing progress on collecting open aged receivables &/or disputes.
  • Prepare appeal letters to insurance carrier with necessary information to accompany appeal.
  • Collaborate with team on additional Workflows and/or Job Aids.
  • Complete all assigned work in a timely manner based on internal, client and/or payer standards.
  • Identify 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.
  • Communicate 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 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. 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 are an equal employment opportunity employer and welcome your interest in joining our team.