Data Entry Specialist I-MSH-78319-003

Job DescriptionUnder the supervision of the Administrative Manager of the Mount Sinai Elmhurst Faculty Practice Group, enrolls physicians with the various third party carriers. Maintains and updates data with physician information not limited to provider numbers.References departments for additional documentation pertinent to the enrollment process.Follow and resolve problems and or rejection from the carriers. Reviews charge review work queues for edits that need to be resolved in a timely manner. Works on data entry projects and other projects as directed by Administrative Manager. Assists with all customer care and customer service issues.ResponsibilitiesUnder the supervision of the Administrative Manager completes forms and rosters for provider enrollment and or revalidation with third party carriers not limited to Medicare and Medicaid.Maintains and updates One App Pro with physician information.Works on Epic Charge Router to ensure the provider is placed on hold while enrollment takes place. Charge Review workqueues are reviewed to resolve any enrollment related issues that may cause charge lag. Claim Edit holds are placed for providers pending certification with Medicaid for electronic billing, and Follow Up work queues are monitored for enrollment denials. Supplies additional information as requested from third party carrier.Coordinates epaces enrollment and gives access to the provider listing for billing vendor use. Contacts and works with billing vendor, carriers, departments, and medical staff on provider credentialing issues from third party plete audit materials required and requested by the third party carriers.Obtain authorizations as required.Work alongside billing vendor to track and update patient customer service issues on legacy system and Epic.Provide excellent customer service to patients and follow up on cases when needed. Provide detailed notes to billing vendor in legacy system and in new legacy system Epic Financials. Follows up on payment plans. Collects payments, creates time of service, and conducts cash draw activities. Requests refunds when needed with proper backup attached for billing vendor to review.Answer phone calls, transfer calls, and send emails to appropriate parties. Scheduling appointments when necessary.Performs other related duties that are required by the ongoing development of the Faculty Practice Group.QualificationsRequires a level of understanding that is obtained or acquired through the completion of a High School Diploma. Knowledge of and familiarity with third party carriers.Ability to use computer. Average dexterity and knowledge of software applications such as Microsoft, Excel, etc., etc.Ability to utilize Epic software.Work requires one year experience in same or similar environment.About UsStrength Through Diversity The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by: Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential. Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination. Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers. At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally. Explore more about this opportunity and how you can help us write a new chapter in our history! "About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 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 Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in CardiologyHeart Surgery, DiabetesEndocrinology, GastroenterologyGI Surgery, NeurologyNeurosurgery, Orthopedics, PulmonologyLung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism." EOE MinoritiesWomenDisabledVeterans

Created: 2025-03-04