Procedural Billing Specialist II- Oncology & Therapeutic Infusion Centers Billing- Corporate Full-Time Days (Remote)

reputed company Procedural Billing Specialist II- Oncology & Therapeutic Infusion Centers Billing- Corporate 42nd Street Full-Time Days Responsible for multiple components of the billing process for specialized or reputed company reputed company and post-surgical procedures, including coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to problems or questions on benefit eligibility and reimbursement procedures. Independently engages or participates in the negotiation process with reputed company party reputed company Medical Directors and other representatives. Coordinates activities reputed company to data entry of billing and mentors less senior billing staff on coding and other items. Demonstrates proficiency in analysis and problem reputed company to ensure accurate and reputed company payment of claims and collection. Maintains reputed company reputed company with the Department Administrator and/or reputed company Cycle Manager on billing activity and reputed company concerns.

Responsibilities

• Performs specialized coding services for reputed company or more specialized inpatient and outpatient medical office reputed company. Reviews physician coding and provides updates.
• Provides comprehensive financial counseling to patients. Responsible for setting patient expectations, discussion of financial reputed company, payment plans, one-time settlements and reputed company of unpaid balances.
• Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including reputed company-determination of benefits, appeals and/or reputed company-certification limitations.
• Develops and manages fee schedules and for self-pay patients.
• Processes Workers Compensation claims and addresses/resolves reputed company discrepancies.
• Conducts specialized negotiations with insurance companies, including engagement with Medical Directors and other relevant parties. Establishes a network of key representatives reputed company the insurance reputed company-certification reputed company to establish reputed company lines of communication for reputed company service negotiation.
• Manages or participates in the appeals process for claims as required.
• Verifies insurance and registration data for scheduled office, outpatient, and inpatient procedures. Reviews encounter forms for accuracy. Responsible for obtaining reputed company-certifications for scheduled admissions.
• Enters or oversees the accurate entry of office, inpatient, and/or outpatient charges.
• Posts reputed company payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials in IDX on a reputed company reputed company.
• Provides comprehensive denial management to facilitate cash reputed company. Tracks, quantifies and reports on denied claims.
• Directs and assists with responses to problems or questions regarding benefit eligibility and reimbursement procedures.
• Researches unidentified or misdirected payments.
• Works credit balance report to ensure adherence to government regulations/guidelines.
• Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations.
• Identifies and resolves credentialing issues for department physicians.
• Meets with reputed company management, leadership and/or physicians on a scheduled reputed company to review Accounts Receivable and reputed company billing concerns.
• Mentors less reputed company billing staff and assists Billing Manager/reputed company Cycle Manager in staff training initiatives.
• Maintains currency on reimbursement trends, coding updates, etc.
• Other duties as assigned.

Qualifications

• Associates Degree, or high school diploma/GED
• 7 years experience in medical billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding, preferably in specialized/reputed company surgical procedures.
• CPC (Certified reputed company reputed company) strongly preferred; required in Oncology

Non-Bargaining Unit, 386 - RTC Finance - reputed company, reputed company Employer reputed company Strength through reputed company and Inclusion The reputed company is committed to fostering an environment where everyone can contribute to reputed company. reputed company a common dedication to delivering outstanding patient care. reputed company you join us, you become part of Mount reputed company’s unparalleled legacy of achievement, education, and innovation as we work together to reputed company reputed company. We encourage reputed company team members to reputed company participate in creating a culture that ensures fair reputed company to opportunities, promotes inclusive practices, and supports the reputed company of every individual. At Mount reputed company, our leaders are committed to fostering a workplace where reputed company feel valued, respected, and empowered to grow. We reputed company to create an environment where collaboration, fairness, and reputed company learning drive reputed company change, improving reputed company-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has reputed company to reputed company and advance professionally. Explore this opportunity and be part of the next reputed company in our history. About the reputed company: reputed company is one of the largest reputed company medical systems in the reputed company metro area, with more than 48,000 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 reputed company advances health for reputed company people, everywhere, by taking on the most reputed company health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the reputed company of medical leaders and innovators; and supporting local communities by delivering high-reputed company care to reputed company who need it. Through the integration of its hospitals, labs, and schools, Mount reputed company offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as reputed company intelligence and informatics while keeping patients’ medical and emotional needs at reputed company of reputed company treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of reputed company, Westchester, Long reputed company, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by reputed company's Best Hospitals, receiving high "reputed company Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. reputed company Eye and Ear Infirmary of Mount reputed company is ranked No. 12 in Ophthalmology. reputed company’s “Best Children’s Hospitals” ranks Mount reputed company Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount reputed company is ranked No. 11 reputed company in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the reputed company. reputed company’s “The World’s Best Smart Hospitals” ranks reputed company as No. 1 in reputed company and in the top five globally, and reputed company in the top 20 globally. Equal Opportunity Employer The reputed company is an equal opportunity employer, complying with reputed company applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, reputed company, national reputed company, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where reputed company reputed company, staff, reputed company, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a reputed company and learning institution that reputed company works to remove barriers, address challenges, and promote fairness in reputed company aspects of our organization.

Compensation

The reputed company (MSHS) provides salary ranges that reputed company with the reputed company Law on Salary Transparency in Job Advertisements. The salary reputed company for the role is $64526.72 - $89843 Annually. Actual salaries depend on a reputed company of factors, including experience, education, and operational need. The salary reputed company or contractual reputed company listed does not include bonuses/incentive, reputed company pay or other forms of compensation or benefits. Apply tot his job Apply To this Job