CLERK ACCOUNTING SENIOR

Job description:

• Responsible for accurate hospital denial resolution for Inpatient & Outpatient claims
• Responsible for verifying and setting up insurance coverage on denied claims
• Associate needs to resolve denials by determining the appropriate next step required to bring claim to resolution.
• Reduce the receivables and increase cash collection.
• Address high volume of denials in a timely manner to reduce revenue loss.
• Trace trends and provide findings to Management.
• Associates needs to have analytical thinking skills when following up on claim status.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems requirements.
• Researching and appealing denied claims

Education/Requirements:

High school diploma, GED or equivalent

• Prior applicable experience in a hospital or physician billing and collections department.
• Demonstrated computer proficiency preferable experience with Microsoft Word and Excel
• Strong communication and interpersonal skills to deliver exceptional customer service

Must successfully pass pre-hire exams; Math, grammar/vocabulary & customer service with a score of 80% or above. Billing experience required.

Department: Revenue Cycle Bargaining Unit: 1199 Campus: TARRYTOWN Employment Status: Regular Full-Time Address: 555 South Broadway, Tarrytown

Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 222345Salary Range/Pay Rate:$28.49

For positions that have only a rate listed, the displayedrate is the hiringrate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the "Montefiore Difference" - who we are at Montefiore and all that we have to offer our associates, please clickhere.

Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history ofdisability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status,or partnership status, or any other characteristic protected by law.

N/A