SENIOR CLERK

This vacancy will be posted on internal Career Website for 5 business days.

Associates are eligible to apply for a lateral transfer after completion of one (1) year of service in their present position, with the following exception: an Associate who has received a written warning is not eligible for a transfer/promotion prior to six (6) months from date of issuance; an Associate who has been suspended is not eligible for transfer/promotion prior to one (1) year from date of suspension. Part-time Associates who have completed their probationary period can move to full-time vacancies within their department provided such movement will not unreasonably reduce the operational efficiency of that department. Probationary period is three (3) months for full-time employees, and four (4) months for part-time employees who works more than 3/5 of the normal workweek. Probationary period will not apply to shift changes.

Montefiore Professional Service Department is seeking an Accounts Receivable candidate to join our esteemed team. The individual will have an understanding of the full Revenue Cycle, experience working with all payors including Managed Care, Governmental, and Commercial and be experienced in appealing denied claims.

Responsibilities:

*Reviews and resolves billing edits and claim denials from payors by researching payor policies, reviewing billing records, and understanding EPIC workflows

*Submits corrected claim(s)/appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower A/R

*Maintain account notes detailing progress on collecting open aged receivables &/or disputes

*Prepares appeal letters to insurance carrier with necessary information to accompany appeal

*Collaborates with team on additional Workflows and/or Job Aids

*Completes all assigned work in a timely manner based on internal, client and/or payer standards

*Identify root causes of denials to Manager in order to enhance the system, work with Contracting on payor issues, or communicate departmental workflow issues to the Engagement Manager

*Communicates with manager any changes, updates, or new policies identified through day-to-day functions

Education and skills required:

*High school diploma required, some college preferred

*At least two (2) years' experience in a physician billing setting

*Experience in the EPIC PB billing system is required.

*Independent, detail oriented individual with strong analytical skills.

*Must have a good verbal and written communication skills.

*Must have knowledge of health insurance reimbursement and billing requirements.

*Must be familiar with HIPPA guidelines.

*Must be able to apply policy and procedure to make independent decisions to secure reimbursement

Department: Professional Services Bargaining Unit: 1199 Campus: YONKERS Employment Status: Regular Full-Time Address: 3 Executive Boulevard, Yonkers

Shift: Day Scheduled Hours: 8 AM-4:30 PM Req ID: 223785Salary 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.

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.

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