Senior Biller-Oncology Billing Corporate East 42nd Street Full-Time Days

Senior Biller-Oncology Billing Corporate East 42nd Street Full-Time -Days 

The Senior Biller is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. The Senior Biller demonstrates proficiency in these processes to facilitate accurate and timely payment of claims and collection, and is considered a subject matter expert for those less experienced.

• Verifies insurance and registration data for scheduled outpatient/inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre-certification for scheduled surgeries and admissions.
• Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures.
• May run and work missing charges, edits, denials list and process appeals. Posts denials on a timely basis.
• Posts all payments as appropriate in the billing system.
• May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff.
• Works daily Accounts Receivable accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims, and writes appeal letters.
• Researches unidentified checks sent to other departments.
• Works credit balance report to ensure adherence to government regulations/guidelines.
• Identifies billing issues for resolution; may provide recommendations.
• Identifies and resolves credentialing issues for department physicians.
• Meets with practice management or physicians on a scheduled basis to review Accounts Receivable and current billing concerns.
• May be responsible to prepare and verify office hours schedules.
• May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments.
• May work Patient keeper work queue for inpatient encounters.
• May approve EPIC work queue for all outpatient encounters.
• May prepare TOS deposits in Sinai Central.
• Maintains working knowledge and currency in third party payor requirements.
• Serves as mentor and trainer for new or less experienced Billers.
• Other relevant duties as assigned.

• HS/GED; Associates Degree is preferred
• 3+ years of experience in medical billing or health claims, with experience in billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding
• Certification: CPC preferred

Collective bargaining unit: SEIU 1199-MSH

Compensation Statement

The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for this role is $26.18 - $28.72 Hourly. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

SEIU 1199 at Mount Sinai Hospital, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:  

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization.  We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

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