Collector- Resolution & Denial

Hybrid - Work from home after training with ability to come to office as needed  --    Base salary plus monthly bonus!

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.

Position Responsibilities:

Work on payer claims projects and collections work queues up to including denials and/or underpayment patterns            Identification of edits and errors for corrected claims submissions           Familiarity with recalculations of  Inpatient Prospective Payments, OPPS, and APR-DRGs          Maintain work queues  accounts updated based on pre-defined criteria          Contact Insurance companies on claims resolutions and collection follow ups          Submission of electronic transactions and uploading information by using payers’ portals          Review and follow up on assigned insurance companies correspondent’ letters          Submission of appeals and/or reconsideration with proper documentation when applicable.          Provide all information requested by insurance in a timely manner in accordance to requested methodology          Creation of customized letters and excel reports depending on insurance companies criteria.

 Qualifications:

 Medical claims Collections Experience – minimum two years  Understanding of  Managed Care contracts and State/Federal healthcare regulations. High School Graduate EPIC software experience preferred Basic word and excel knowledge

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. Our robust employee benefits package includes:

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 Share