Specialty Collector

Mount Sinai Medical Center of Florida, Inc.; Miami Beach, Northern (FL, KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability coverage

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 dedicated individual for Healthcare Collections in our Physician Billing department.

The role focuses on training new hires in EPIC, reviewing progress, and assisting with claim resolution to maintain efficient revenue cycle operations. The position requires at least one year of healthcare collections experience and knowledge of managed care benefits.

Qualifications

• One year practical experience in Healthcare Collections.
• Knowledge of managed care benefits (PPO/POS/HMO, Medicare and Medicaid).
• High School Graduate or equivalent level of training.

Responsibilities

• Train new hires in the EPIC system and collection department directives.
• Review progress of new hires and audit their work for accuracy during the first three months.
• Provide updates to manager and team leader on new hire progress and training needs.
• Handle collection activities, analyze payer trends, and assist with claim resolution as needed.
• Access claim information and eligibility via insurer portals and by calling payers to process pending claims.
• Document all collection activity clearly on patient accounts to support resolution.

Skills

Healthcare Collections

Education

High School Graduate or equivalent level of training

Tools

EPIC Physician Billing

Job description

## Specialty CollectorApply: Remote: Miami Beach, FL: Full time: Posted Today: JR104131**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:**## Position Responsibilities* Responsible for training all new hires in the EPIC system and collection department directives.* Conducts review of new hire progress, audits their work for accuracy, content, and effectiveness for the initial three months.* Provides the manager and team leader with new hire progress, and identifies areas requiring additional training.* Acts as a Collection Team resource for questions, account assessment, payer trends and/or claim resolution as needed.* 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.* Maintains 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 + Not applicable* ### Education + High School Graduate or equivalent level of training.* ### Experience + One year practical experience in Healthcare Collections. Knowledge of managed care beneftis (PPO/POS/HMO, Medicare and Medicaid)**Benefits:**We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:* 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!