Collector Physician Billing

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.

Department:

CC209041 Physician Billing

Job Description Summary:

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.

Key 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

Position Responsibilities

• Responsible for learning EPIC Physician Billing system in order to successfully complete work assignments.
• Prioritizes work tasks to maximize productivity and efficiency in an ongoing basis while maintaining accuracy.
• Responsible for working claims workques in order 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 accounts. Must include claim issue and activity performed in order to resolve.
• Able to access and obtain claim information and eligibility using insurance payor web portals (including SPOT), in addition to contacting the insurance payers via telephone in order 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. Participates in team discussions.
• Consistently demonstrates the ability to organize work duties, recognize and resolve errors, and establish priorities in order to complete work without creating backlogs.
• Ability to work as part of a team and share information with team members in order to facilitate and promote excellent quality performance.
• Responsible for seeking information as needed by reaching out to the team leader, manager and other departments as needed in order 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.

Qualifications

• License/Registration/Certification

• None

• Education

• High School graduate or equivalent level of experience.

• Experience

• Knowledge of managed care beneftis (PPO/POS/HMO, Medicare and Medicaid)

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:

• 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!

Degree Requirements:

Certification: