Physician Billing Collector – EPIC Denials & Reimbursement

Mount Sinai Medical Center; Miami Beach (FL); In loco; USD 52.000 - 72.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health benefits

Life insurance

Retirement plan

Paid time off

Tuition reimbursement

Wellness program

Descrizione del lavoro

Mount Sinai Medical Center in Miami Beach is seeking a Collector – Physician Billing to manage physician accounts receivable by resolving denied, pending, and unpaid claims. The role uses EPIC, conducts insurance follow-up, prepares appeals, reviews medical records for support, and maintains detailed documentation of collection activities.

The ideal candidate will have experience with managed care plans (PPO/POS/HMO, Medicare, Medicaid), strong organizational and multitasking abilities, and a

Competenze

• Knowledge of physician billing, accounts receivable, and claims collection processes.
• Experience with PPO/POS/HMO, Medicare and Medicaid.
• Ability to navigate payer portals and EPIC.

Mansioni

• Learn EPIC Physician Billing system to complete work assignments accurately and efficiently.
• Prioritize tasks to maximize productivity and maintain accuracy in a high-volume environment.
• Work claims queues to resolve denials and submit appeals when needed.
• Track submitted appeals and outcomes for both first- and second-level appeals.
• Document all collection activity clearly for each patient account, including issues and actions.
• Access claim information and eligibility via payer portals and telephone contacts to process pending claims.
• Review medical records to determine medical necessity and submit records with appeal rationale.
• Participate in education programs and team discussions to improve processes and performance.

Conoscenze

Physician billing

Accounts receivable

Claims collection

Insurance follow-up

EPIC

Documentation

Communication

Teamwork

Productivity

Formazione

High School diploma or equivalent

Strumenti

EPIC

Descrizione del lavoro

Mount Sinai Medical Center in Miami Beach is seeking a Collector – Physician Billing to manage physician accounts receivable by resolving denied, pending, and unpaid claims. The role uses EPIC, conducts insurance follow-up, prepares appeals, reviews medical records for support, and maintains detailed documentation of collection activities.

The ideal candidate will have experience with managed care plans (PPO/POS/HMO, Medicare, Medicaid), strong organizational and multitasking abilities, and a