Data Entry Specialist II-MSH/SSVS-78340-002

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. 

1. Under the supervision of the Administrative Manager completes forms and rosters for provider enrollment with third party carriers not limited to Medicare and Medicaid.
2. Maintains and updates  database One App Pro with physician information.
3. Works on Epic Charge Review, Claim Edit, and Follow Up work queues.  Supplies additional information as requested from third party carrier for both Elmhurst and Queens sites.
4. Contacts and works with billing vendor, carriers, departments, and medical staff on provider credentialing issues from third party carriers.
5. Complete audit materials required and requested by the third party carriers.
6. Obtain authorizations as required. Schedule patients when required. 
7. Performs office support by answering telephones, opening and distribution of mail for Administrator and other staff. Maintains inventory and orders office supplies.
8.  Work alongside billing vendor to track and update patient customer service issues on legacy system and Epic.
9. 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. 
10. 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.
11. Performs other related duties that are required by the ongoing development of the Faculty Practice Group.

-College degree preferred but not required.

-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 three 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.

We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.

 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 advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative appr