What are the responsibilities and job description for the SENIOR CLERK - 5C position at Montefiore Health System?
Senior Accounting Clerk
Montefiore Professional Service Department is seeking an Accounts Receivable candidate to join our esteemed team. The individual will have an understanding of the full Revenue Cycle, experience working with all payors including Managed Care, Governmental, and Commercial and be experienced in appealing denied claims.
Responsibilities
Reviews and resolves billing edits and claim denials from payors by researching payor policies, reviewing billing records, and understanding EPIC workflows
Submits corrected claim(s)/appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower A/R
Maintain account notes detailing progress on collecting open aged receivables &/or disputes Prepares appeal letters to insurance carrier with necessary information to accompany appeal
Collaborates with team on additional Workflows and/or Job Aids
Completes all assigned work in a timely manner based on internal, client and/or payer standards
Identify root causes of denials to Manager in order to enhance the system, work with Contracting on payor issues, or communicate departmental workflow issues to the Engagement Manager
Communicates with manager any changes, updates, or new policies identified through day-to-day functions
Education And Skills Required
High school diploma required, some college preferred
At least two (2) years’ experience in a physician billing setting
Experience in the EPIC PB billing system is required. Independent, detail oriented individual with strong analytical skills.
Must have a good verbal and written communication skills.
Must have knowledge of health insurance reimbursement and billing requirements.
Must be familiar with HIPPA guidelines.
Must be able to apply policy and procedure to make independent decisions to secure reimbursement
Department: Professional Services Bargaining Unit: 1199 Campus: YONKERS Employment Status: Regular Full-Time Address: 3 Executive Boulevard, Yonkers
Shift: Day Scheduled Hours: 7:30 AM-4 PM Req ID: 221364 Salary Range/Pay Rate: $28.49
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
N/A;
Montefiore Professional Service Department is seeking an Accounts Receivable candidate to join our esteemed team. The individual will have an understanding of the full Revenue Cycle, experience working with all payors including Managed Care, Governmental, and Commercial and be experienced in appealing denied claims.
Responsibilities
Reviews and resolves billing edits and claim denials from payors by researching payor policies, reviewing billing records, and understanding EPIC workflows
Submits corrected claim(s)/appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower A/R
Maintain account notes detailing progress on collecting open aged receivables &/or disputes Prepares appeal letters to insurance carrier with necessary information to accompany appeal
Collaborates with team on additional Workflows and/or Job Aids
Completes all assigned work in a timely manner based on internal, client and/or payer standards
Identify root causes of denials to Manager in order to enhance the system, work with Contracting on payor issues, or communicate departmental workflow issues to the Engagement Manager
Communicates with manager any changes, updates, or new policies identified through day-to-day functions
Education And Skills Required
High school diploma required, some college preferred
At least two (2) years’ experience in a physician billing setting
Experience in the EPIC PB billing system is required. Independent, detail oriented individual with strong analytical skills.
Must have a good verbal and written communication skills.
Must have knowledge of health insurance reimbursement and billing requirements.
Must be familiar with HIPPA guidelines.
Must be able to apply policy and procedure to make independent decisions to secure reimbursement
Department: Professional Services Bargaining Unit: 1199 Campus: YONKERS Employment Status: Regular Full-Time Address: 3 Executive Boulevard, Yonkers
Shift: Day Scheduled Hours: 7:30 AM-4 PM Req ID: 221364 Salary Range/Pay Rate: $28.49
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
N/A;
Salary : $28
