Procedural Billing Specialist I
: Job Details :

DetailsClient Name Pediatric Psychiatry at Mount Sinai Job Type Travel Offering Non-Clinical Profession Non-Clinical Specialty Billing Representative Job ID 29185912 Job Title Procedural Billing Specialist I Weekly Pay $751.82 Shift DetailsShift Day - 7.5x5 - 09AM Scheduled Hours 37 Job Order DetailsStart Date 11/18/2024 End Date 02/15/2025 Duration 13 Week(s) Job Description Job Title: Procedural Billing Specialist I Job Specialty: Urology Coding Job Duration: 13 Weeks Shift: 9am-5pm, Monday-Friday Guaranteed Hours: 37.50 per week Experience: Urology coding experience License: Not required Certifications: Not required Must-Have: - Excellent organizational skills - Strong communication and customer service skills - Knowledge of medical terminology and anatomy - Strong attention to detail and ability to multitask - Excellent calculation, verbal, and communication skills - Strong analytical and research abilities Job Description: - Perform specialized coding services for inpatient and outpatient medical office visits; review and update physician coding. - Provide comprehensive financial counseling to patients, including setting expectations, discussing financial options, and resolving unpaid balances. - Discuss insurance coverage details with patients, including pre-determination of benefits and pre-certification limitations. - Develop and manage fee schedules for self-pay patients. - Process Worker's Compensation claims and resolve discrepancies. - Conduct negotiations with insurance companies and establish communication with insurance pre-certification units. - Verify insurance and registration data for scheduled procedures; review encounter forms for accuracy. - Obtain pre-certifications for scheduled admissions. - Enter and manage office, inpatient, and outpatient charges with accurate data entry of codes. - Post payments and manage missing charges, edits, denials lists, and process appeals. - Provide comprehensive denial management to enhance cash flow and report denied claims. - Address and assist with queries regarding benefit eligibility and reimbursement procedures. - Research unidentified or misdirected payments. - Work on credit balance reports to ensure adherence to regulations. - Analyze claim system reports to identify and collect underpayments from key carriers. - Review and resolve billing issues and provide recommendations. - Identify and resolve credentialing issues for department physicians. - Maintain a thorough understanding of medical terminology through ongoing education to apply ICD-10-CM/PCS, CPT, and HCPCS coding guidelines effectively. - Meet with practice management and physicians regularly to review accounts receivable and discuss billing concerns. - Mentor less experienced billing staff and assist in staff training. Client DetailsAddress 1425 Madison Ave 4th Floor City New York City State NY Zip Code 10029 Job Board Disclaimer By applying for jobs on this website, you consent to receive daily messages from CYNET HEALTH about assignments that match your profile. Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.