Financial Specialist-Patient Financial Services Charity Care-42nd Street-Full-Time Days
Mount Sinai Health SystemAbout the role
Financial Specialist-Patient Financial Services (Charity Care) - 42nd Street-Full-Time Days
The Financial Specialist is responsible for billing and collection activities, which include verification of insurance, pre-certifications, deposits and reconciliation of co-pays and self-pays, updating financial information in appropriate software applications and providing information on billing matters.
- Ensures claim edits and accounts receivables are resolved in an efficient and timely manner.
- Monitors claims for payment by insurance companies, co-payments and self pays.
- Resubmits claims for payment with appropriate updates and documentation as needed.
- Responds to patient and third party inquiries; researches and resolves problems; corrects errors and refers most complex issues to supervisor.
- Reviews correspondence and rejection data from insurance carriers; posts rejections and balances in appropriate financial classification.
- Transfers secondary balances to appropriate financial class and provides documentation for processing the claims.
- Reviews Credit Letter Sent (CLS) and transfers balance to appropriate financial class and dunning level.
- Prepares and submits referring physician updates and other major dictionary or master file request to supervisor for approval.
- Assists Billing Manager with the training of new hires.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Performs other related duties
- High School graduate or equivalent. Advanced medical billing and computerized billing system training.
- 3 years healthcare billing experience working with CPT and ICD (coding and CCI edits.
- Electronic claims processing preferred.
- Excellent organizational skills
- Excellent communication and customer service skills
- Knowledge of medical terminology and anatomy
- Strong attention to detail
- Typing, Data & Excel Test.
Non-Bargaining Unit, 513 - PFS Self Pay/Financial Intake - 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.
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 approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at
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