We have an exciting opportunity to join our team as a FGP Senior Billing Rep (35).
In this role, the successful candidate will under general direction, computes, bills, follows-up, corrects, and enters claim information in the billing system as assigned by management; works with minimal supervision and has the ability to explains processes and procedures to others.
Responsible for assisting the professional billing staff within the Ambulatory CBO with complex and escalated issues.
Working directly with the department supervisor on special projects and staff training.
Work closely with provider offices on patient issues.
Review and resolve uncollected accounts and prepare charge corrections.
Appeal carrier denials through review of coding, contracts, and medical records.
Utilizes insurance company websites to expedite the account follow-up process.
Makes appropriate corrections to system to satisfy/edit payer requirements and re-submit claims as needed.
Ensures that work complies with operational policies and procedures, and regulatory requirements.
Identifies payer and provider credentialing issues and addresses them with management.
Follows workflows provided in training classes and requests additional training as needed.
Enters account notes using standard formatting.
Review reports to identify revenue opportunities and unpaid claims.
Completes monthly action plans.
Uses payer websites, billing system and/or communicates with providers, patients, coders, or other responsible persons, to ensure the correctness and completeness of charges and claims, or to follow-up on accounts receivable to ensure that items in assigned work queue(s) are resolved within required timeframes.
Participates in workgroups and meetings.
Escalates issues to management as needed.
Attends all required training classes.
Reads and applies policies and procedures to make appropriate decisions.
Other duties as assigned.
To qualify you must have a Minimum Qualifications:Experience in medical billing, accounts receivable, insurance, or related duties; or formal training or education in medical billing that provides the required knowledge and abilities. H.S. Diploma, plus 2 years experience in a similar role . Knowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math.
Bachelor's degree preferred.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.
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Internal Number: 60441782
About NYU Langone Health
NYU Langone Health, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.nyulangone.org.