Collector Physician Billing

CMP01 Mount Sinai Medical Center of Florida, Inc.; United States; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability coverage

Healthcare spending accounts

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center of Florida, Inc. is seeking a Collector – Physician Billing to manage physician accounts receivable, resolve denied and pending claims, and maximize reimbursement.

The role uses EPIC, performs insurance follow-up, prepares appeals, and maintains thorough documentation to meet productivity goals. Ideal candidates will have knowledge of physician billing, managed care plans, and strong analytical and communication skills.

Qualifications

• High school diploma or equivalent is required.
• Knowledge of physician billing, accounts receivable, and claims collection processes.
• Understanding of managed care plans (PPO, POS, HMO, Medicare, Medicaid).
• Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution.
• Ability to navigate payer portals and billing systems, preferably EPIC.
• Strong analytical, communication, and documentation skills.
• Ability to prioritize workload and meet deadlines in a high-volume environment.
• Team-oriented with a commitment to continuous learning and process improvement.

Responsibilities

• Learn EPIC Physician Billing system in order to successfully complete work assignments.
• Prioritize work tasks to maximize productivity and efficiency in an ongoing basis while maintaining accuracy.
• Work claims workqueues to resolve claim issues and identifying denied claims requiring the submission of appeals.
• Track submitted appeals for status and resolution; follow up on deferred claims for resolution.
• Maintain clear and concise documentation of all collection activity on each patient accounts; include claim issue and activity.
• Access and obtain claim information and eligibility using insurance payor portals (including SPOT) and contact payers to process pending claims.
• Review medical records to identify medical necessity and submit copies with reason for reconsideration for all appeals.
• Attend educational programs as assigned by manager and participate in team discussions.
• Organize work duties, recognize and resolve errors, and establish priorities to complete work without backlogs.
• Work as part of a team and share information to facilitate excellent quality performance.
• Seek information from team leader/manager/departments to resolve claim issues.
• Participate in completion of special collection projects by deadlines and show initiative to learn/improve skills.
• Any other duties as assigned.

Skills

Analytical skills

Communication skills

Documentation skills

Teamwork

Organizational skills

Education

High School diploma or equivalent

Tools

EPIC

Job description

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department: CC209041 Physician Billing Job Description Summary:

The Collector – Physician Billing is responsible for managing physician accounts receivable by resolving denied, pending, and unpaid claims to maximize reimbursement. This role works within EPIC, conducts insurance follow-up, prepares and tracks appeals, reviews medical records for claim support, and maintains accurate documentation of collection activities. The position requires strong organizational skills, attention to detail, and the ability to work collaboratively to resolve complex billing issues and meet productivity goals.

Key Qualifications:

• High school diploma or equivalent required
• Knowledge of physician billing, accounts receivable, and claims collection processes
• Understanding of managed care plans, including PPO, POS, HMO, Medicare, and Medicaid
• Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution
• Ability to navigate payer portals and billing systems, preferably EPIC
• Strong analytical, communication, and documentation skills
• Ability to prioritize workload, meet deadlines, and maintain accuracy in a high-volume environment
• Team-oriented with a commitment to continuous learning and process improvement

Position Responsibilities:

• Responsible for learning EPIC Physician Billing system in order to successfully complete work assignments.
• Prioritizes work tasks to maximize productivity and efficiency in an ongoing basis while maintaining accuracy.
• Responsible for working claims workques in order to resolve claim issues and identifying denied claims requiring the submission of appeals.
• Responsible for tracking submitted appeals for status and resolution. (Both 1st and 2nd level appeals), and conducting follow up on deferred claims for resolution.
• Clear and concise documentation of all collection activity on each patient accounts. Must include claim issue and activity performed in order to resolve.
• Able to access and obtain claim information and eligibility using insurance payor web portals (including SPOT), in addition to contacting the insurance payers via telephone in order to process pending claims.
• Conducts review of medical records to identify medical necessity of physician services and submits copies of medical records with the reason for reconsideration for all claim appeals.
• Attends all educational programs as assigned by manager.
• Participates in team discussions.
• Consistently demonstrates the ability to organize work duties, recognize and resolve errors, and establish priorities in order to complete work without creating backlogs.
• Ability to work as part of a team and share information with team members in order to facilitate and promote excellent quality performance.
• Responsible for seeking information as needed by reaching out to the team leader, manager and other departments as needed in order to resolve claim issues.
• Participates in the completion of special collection projects by established deadlines as assigned.
• Embraces opportunities to acquire more knowledge and shows initiative to learn/improve skills.
• Any other duties as assigned.

Qualifications:

License/Registration/Certification None Education High School graduate or equivalent level of experience. Experience Knowledge of managed care beneftis (PPO/POS/HMO, Medicare and Medicaid)

Benefits:

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!

Degree Requirements:

Certification: More than 4,000 people work at Mount Sinai Medical Center at more than a dozen locations throughout sunny South Florida, including our flagship, 672-bed hospital on Biscayne Bay at the gateway to Miami Beach. We’re the largest, independent, not-for-profit hospital in South Florida, and we’re the only hospital Healthgrades recognized for four years running as one of the top 5% in the nation. Clearly, clinical excellence is at our core.