[Hiring] Collector Physician Billing @Mount Sinai Medical Center

Role Description

The Collector – Physician Billing is responsible for managing physician accounts receivable by resolving denied, pending, and unpaid claims to maximize reimbursement. This role works within EPIC, conducts insurance follow-up, prepares and tracks appeals, reviews medical records for claim support, and maintains accurate documentation of collection activities. The position requires strong organizational skills, attention to detail, and the ability to work collaboratively to resolve complex billing issues and meet productivity goals.

Qualifications

• High school diploma or equivalent required
• Knowledge of physician billing, accounts receivable, and claims collection processes
• Understanding of managed care plans, including PPO, POS, HMO, Medicare, and Medicaid
• Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution
• Ability to navigate payer portals and billing systems, preferably EPIC
• Strong analytical, communication, and documentation skills
• Ability to prioritize workload, meet deadlines, and maintain accuracy in a high-volume environment
• Team-oriented with a commitment to continuous learning and process improvement

Requirements

• Responsible for learning EPIC Physician Billing system in order to successfully complete work assignments.
• Prioritizes work tasks to maximize productivity and efficiency while maintaining accuracy.
• Responsible for working claims workques 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 account, including claim issue and activity performed to resolve.
• Able to access and obtain claim information and eligibility using insurance payor web portals (including SPOT) and contacting insurance payers via telephone 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 and participates in team discussions.
• Consistently demonstrates the ability to organize work duties, recognize and resolve errors, and establish priorities to complete work without creating backlogs.
• Ability to work as part of a team and share information with team members to facilitate and promote excellent quality performance.
• Responsible for seeking information as needed by reaching out to the team leader, manager, and other departments to resolve claim issues.
• Participates in the completion of special collection projects by established deadlines as assigned.
• Embraces opportunities to acquire more knowledge and shows initiative to learn/improve skills.
• Any other duties as assigned.

Benefits

• 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
• On-site housing for select positions and more!