Procedural Billing Specialist I

Details Client NamePediatric Psychiatry at Mount Sinai Job TypeTravel OfferingNon-Clinical ProfessionNon-Clinical SpecialtyBilling Representative Job ID30323825 Job TitleProcedural Billing Specialist I Weekly Pay$755.02 Shift Details ShiftDay - 7.5x5 - 09AM Scheduled Hours37 Job Order Details Start Date02102025 End Date05102025 Duration13 Week(s) Job DescriptionJob 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: NA Certifications: NA 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 Address1425 Madison Ave 4th Floor CityNew York City StateNY Zip Code10029 Job Board DisclaimerBy applying for jobs on this website, you consent to receive daily messages from CYNET 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.

Created: 2025-02-02