The Offsite Billing Coordinator is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual demonstrates proficiency in these processes to facilitate accurate and timely payment of claims and collection.

High School Diploma/GED, Associates degree preferred.

1 year with Associates Degree, or 2 years with HS/GED, of experience in billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding.

Licensing and Certification Requirements (if applicable

None (CPC preferred)

Collective bargaining unit: SEIU 1199-MSH

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $23.88 - $25.66 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

1. Verifies insurance and registration data for scheduled patient encounters (and scheduled surgeries if applicable); reviews encounter forms for accuracy.

2. Enters office charges with accurate data entry of codes. Ensures charges are entered/ processed in accordance with policies and procedures.

3. May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a timely basis.

4. Posts all payments in IDX using approved methodologies.

5. May perform specialty coding and edits for services and medical office visits. Identifies any billing issues. Reviews physician coding and provides updates to physicians and staff.

6. Works daily Accounts Receivable accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims. May assist in the preparation of appeal letters.

7. Works credit balance report to ensure adherence to government regulations/guidelines.

8. Meets with practice management or physicians on a scheduled basis to review Accounts Receivable and current billing concerns.

9. May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments.

10. Maintains working knowledge and currency in third party payor requirements.

11. Other duties as assigned.