What are the responsibilities and job description for the Procedural Billing Specialist I position at Pediatric Psychiatry at Mount Sinai?
Details
Client Name
Pediatric Psychiatry at Mount Sinai
Job Type
Travel
Offering
Non-Clinical
Profession
Non-Clinical
Specialty
Billing Representative
Job ID
30323825
Job Title
Procedural Billing Specialist I
Weekly Pay
699.77
Shift Details
Shift
Day - 7x5 - 08AM
Scheduled Hours
Job Order Details
Start Date
02 / 10 / 2025
End Date
05 / 10 / 2025
Duration
13 Week(s)
Job Description
Job Title : Procedural Billing Specialist I
Job Specialty : Urology Coding
Job Duration : 13 Weeks
Shift : 9am-5pm, Monday to Friday
Guaranteed Hours : 37.5 per week
Experience : Urology coding experience required
License : N / A
Certifications : N / A
Must-Have : Excellent organizational skills, communication and customer service skills, knowledge of medical terminology, and strong attention to detail
Job Description :
- Perform specialized coding services for inpatient and outpatient medical office visits.
- Review physician coding and provide updates.
- Provide comprehensive financial counseling to patients, including setting expectations and discussing financial options, payment plans, and settlement of unpaid balances.
- Explain insurance coverage details and financial implications of out-of-network benefits to patients.
- Develop and manage fee schedules for self-pay patients.
- Process Worker's Compensation claims and resolve discrepancies.
- Conduct negotiations with insurance companies and communicate with insurance pre-certification units.
- Verify insurance and registration data for scheduled procedures.
- Ensure encounter forms are accurate and obtain pre-certifications for scheduled admissions.
- Enter office, inpatient, and outpatient charges with accurate data entry of codes.
- Post all payments and manage missing charges, edits, denials, and appeals.
- Provide comprehensive denial management and track denied claims.
- Assist with benefit eligibility and reimbursement procedures.
- Research unidentified or misdirected payments and ensure adherence to government regulations.
- Analyze claim system reports to identify and collect underpayments.
- Address billing issues and provide recommendations.
- Resolve credentialing issues for department physicians.
- Maintain a thorough understanding of medical terminology and coding guidelines.
- Meet with practice management and physicians to review Accounts Receivable and billing concerns.
- Mentor less experienced billing staff and assist with staff training.
Client Details
Address
1425 Madison Ave 4th Floor
City
New York City
State
Zip Code
10029
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