SENIOR CLERK - 5C

Senior Accounting ClerkMontefiore Professional Service Department is seeking an Accounts Receivable candidate to join our esteemed team. The individual will have an understanding of the full Revenue Cycle, experience working with all payors including Managed Care, Governmental, and Commercial and be experienced in appealing denied claims.Responsibilities:Reviews and resolves billing edits and claim denials from payors by researching payor policies, reviewing billing records, and understanding EPIC workflowsSubmits corrected claim(s)appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower ARMaintain account notes detailing progress on collecting open aged receivables &or disputes Prepares appeal letters to insurance carrier with necessary information to accompany appealCollaborates with team on additional Workflows andor Job AidsCompletes all assigned work in a timely manner based on internal, client andor payer standardsIdentify root causes of denials to Manager in order to enhance the system, work with Contracting on payor issues, or communicate departmental workflow issues to the Engagement ManagerCommunicates with manager any changes, updates, or new policies identified through day-to-day functionsEducation and skills required:High school diploma required, some college preferredAt least two (2) years' experience in a physician billing settingExperience in the EPIC PB billing system is required. Independent, detail oriented individual with strong analytical skills.Must have a good verbal and written communication skills.Must have knowledge of health insurance reimbursement and billing requirements.Must be familiar with HIPPA guidelines.Must be able to apply policy and procedure to make independent decisions to secure reimbursementDepartment: Professional Services Bargaining Unit: 1199 Campus: YONKERS Employment Status: Regular Full-Time Address: 3 Executive Boulevard, YonkersShift: Day Scheduled Hours: 7:30 AM-4 PM Req ID: 221364 Salary RangePay Rate: $28.49 For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. NA; #LI-VK1 Mission:To heal, to teach, to discover and to advance the health of the communities we serve.Vision:To be a premier academic medical center that transforms health and enriches lives.ValuesDefine our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include: Humanity Innovation Teamwork Diversity Equity

Created: 2025-02-14