Billing Manager-CBO
Apply NowCompany: Mount Sinai Hospital
Location: New York, NY 10025
Description:
Job Description
Responsible for the proper billing, payment and charge posting of all billable physician-patient encounters. Ensures all targets related to net, gross, days in accounts receivable, rejects and edits are met. Ensures all compliance and regulatory guidelines are adhered to and produces financial and billing reports to monitor billing. Provides daily, weekly and monthly tracking reports to management or supervisor. Oversees billing staff and ensures proper training and processing in accordance to institutional and billing policies.
Responsibilities
Develops, implements and monitors operational practices that maintain compliance with Mount Sinai policies, external regulations and audits recommendation while remaining within budgeted resources.
Hires, trains, coaches, disciplines and evaluates staff to ensure smooth operation and to maintain a high level of patient satisfaction and adherence to financial targets.
Maintains the privacy and confidentiality of information and adheres to applicable federal, state and local laws and regulations
Oversees billing staff responsible for billing functions and ensures that net, gross, collections, accounts receivable, edits and reject targets met and monitored on a daily, weekly, monthly and annual basis.
Tracks progress and submits reports to Supervisor on a daily, weekly and monthly basis. Submits trend issues to Supervisor on a weekly basis.
Develops, implements and evaluates performance indicators for staff members. Identifies additional training needs and monitors performance against established indicators. Participates in grievance meetings as required.
Reviews internal controls to ensure proper billing of services within established time frames and guidelines. Develops production schedules to ensure proper staffing and production levels are maintained.
Monitors, reviews and communicates billing procedures with support staff.
Monitors billing accuracy and timeliness to identify appropriate corrective actions, training and systems modifications. Performs random sampling of staff work, documents, and takes appropriate action.
Develops methodology necessary to identify all billable physician patient encounters and performed procedures.
Develops methodologies to follow up on claim denials and correspondence.
Participates in systems, financial, and medical billing meetings to represent administration and departments. Researches data and prepares for meetings. Provides presentation materials and trends.
Implements billing procedures and closely monitors accuracy of billing data submitted.
Performs other related duties as assigned.
Qualifications
2 years billing supervisor experience
About Us
Strength through Unity and Inclusion
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About the Mount Sinai Health System:
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Responsible for the proper billing, payment and charge posting of all billable physician-patient encounters. Ensures all targets related to net, gross, days in accounts receivable, rejects and edits are met. Ensures all compliance and regulatory guidelines are adhered to and produces financial and billing reports to monitor billing. Provides daily, weekly and monthly tracking reports to management or supervisor. Oversees billing staff and ensures proper training and processing in accordance to institutional and billing policies.
Responsibilities
Develops, implements and monitors operational practices that maintain compliance with Mount Sinai policies, external regulations and audits recommendation while remaining within budgeted resources.
Hires, trains, coaches, disciplines and evaluates staff to ensure smooth operation and to maintain a high level of patient satisfaction and adherence to financial targets.
Maintains the privacy and confidentiality of information and adheres to applicable federal, state and local laws and regulations
Oversees billing staff responsible for billing functions and ensures that net, gross, collections, accounts receivable, edits and reject targets met and monitored on a daily, weekly, monthly and annual basis.
Tracks progress and submits reports to Supervisor on a daily, weekly and monthly basis. Submits trend issues to Supervisor on a weekly basis.
Develops, implements and evaluates performance indicators for staff members. Identifies additional training needs and monitors performance against established indicators. Participates in grievance meetings as required.
Reviews internal controls to ensure proper billing of services within established time frames and guidelines. Develops production schedules to ensure proper staffing and production levels are maintained.
Monitors, reviews and communicates billing procedures with support staff.
Monitors billing accuracy and timeliness to identify appropriate corrective actions, training and systems modifications. Performs random sampling of staff work, documents, and takes appropriate action.
Develops methodology necessary to identify all billable physician patient encounters and performed procedures.
Develops methodologies to follow up on claim denials and correspondence.
Participates in systems, financial, and medical billing meetings to represent administration and departments. Researches data and prepares for meetings. Provides presentation materials and trends.
Implements billing procedures and closely monitors accuracy of billing data submitted.
Performs other related duties as assigned.
Qualifications
2 years billing supervisor experience
About Us
Strength through Unity and Inclusion
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About the Mount Sinai Health System:
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.