Data Entry Specialist I-MSH-78319-003

Under the supervision of the Administrative Manager of the Mount Sinai Elmhurst Faculty Practice Group, enrolls physicians with the various third party carriers. Maintains and updates data with physician information not limited to provider numbers.

References departments for additional documentation pertinent to the enrollment process.

Follow and resolve problems and or rejection from the carriers. Reviews charge review work queues for edits that need to be resolved in a timely manner. Works on data entry projects and other projects as directed by Administrative Manager. Assists with all customer care and customer service issues. 

Under the supervision of the Administrative Manager completes forms and rosters for provider enrollment and or revalidation with third party carriers not limited to Medicare and Medicaid.

Maintains and updates One App Pro with physician information.

Works on Epic Charge Router to ensure the provider is placed on hold while enrollment takes place. 

Charge Review workqueues are reviewed to resolve any enrollment related issues that may cause charge lag. 

Claim Edit holds are placed for providers pending certification with Medicaid for electronic billing, and Follow Up work queues are monitored for enrollment denials. Supplies additional information as requested from third party carrier.

Coordinates epaces enrollment and gives access to the provider listing for billing vendor use. 

Contacts and works with billing vendor, carriers, departments, and medical staff on provider credentialing issues from third party carriers.

Complete audit materials required and requested by the third party carriers.

Obtain authorizations as required.

Work alongside billing vendor to track and update patient customer service issues on legacy system and Epic.

Provide excellent customer service to patients and follow up on cases when needed. Provide detailed notes to billing vendor in legacy system and in new legacy system Epic Financials. 

Follows up on payment plans. Collects payments, creates time of service, and conducts cash draw activities. Requests refunds when needed with proper backup attached for billing vendor to review.

Answer phone calls, transfer calls, and send emails to appropriate parties. Scheduling appointments when necessary.

Performs other related duties that are required by the ongoing development of the Faculty Practice Group.

Requires a level of understanding that is obtained or acquired through the completion of a High School Diploma. 

Knowledge of and familiarity with third party carriers.

Ability to use computer. Average dexterity and knowledge of software applications such as Microsoft, Excel, etc., etc.

Ability to utilize Epic software.

Work requires one year experience in same or similar environment.

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.

 Explore more about this opportunity and how you can help us write a new chapter in our history!

“About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai