Collector Physician Collections in Miami Beach, FL at Mount Sinai Medical Center of Florida, Inc.

Date Posted: 7/28/2020

Job Snapshot

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Job Description

As Mount Sinai grows, so does our legacy of caring

Located in the heart of Miami Beach, overlooking the breathtaking intracoastal waterway, Mount Sinai Medical Center is dedicated to providing exceptional health care to our diverse community enhanced through innovation, technology, teaching, and research.

Mount Sinai is South Florida's largest private independent not-for-profit hospital with 672 beds, and a tight-knit community of more than 4,000 employees and 500 volunteers

We provide world-class care:

  • The only hospital in Miami-Dade to be named one of the nation's 100 Top Hospitals by IBM Watson Health
  • A pioneer in innovative medical research in areas such as cardiology, cancer, memory disorders and pulmonary diseases
  • The BEST cardiac surgery survival rate in Florida
  • A new seven-story Surgical Tower with 154 all-private rooms and patient centered technology promotes an exceptional patient experience

Position Responsibilities :

• Responsible for learning EPIC Physician Billing system in order to successfully complete work assignments.                                                                                        
• Responsible for working claims work queues 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.
• Participates in the completion of special collection projects by established deadlines as assigned.            ​

Minimum Requirements:

  • 1-2 year practical experience in managed care benefits (PPO/POS/HMO), Medicare, and Medicaid.
  • High School graduate or equivalent level of training.

We offer:

  • An excellent, team focused work environment with opportunity for professional growth
  • Competitive salary with bonus potential
  • Savings plan with company match
  • A variety of health, dental and vision plans
  • On-site childcare, tuition reimbursement, and much more!