NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children’s hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on Facebook, Twitter, YouTube and Instagram.

POSITION SUMMARY: We have an exciting opportunity to join our team as a Faculty Group Practice Billing Representative I for the Authorizations team. In this role, the successful candidate submits claims, follows-up on unpaid balances (insurance or patient), corrects errors, enters claim information, submits authorization/pre-certification requests with insurance companies, follows up on denied claims and/or authorizations, and submits appeals as necessary. Assists with other related tasks including medical record requests, reviewing accounts, and billing projects.

JOB RESPONSIBILITIES:

• Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
• Perform daily tasks in assigned work queues and according to manager assignments.
• Identify payer, provider credentialing, and/or coding issues and address them with management.
• Follow workflows provided in training classes and request additional training as needed.
• Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe;
• Adhere to general practices and FGP guidelines on compliance issues and patient confidentiality.
• Communicate with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third party payers.
• Participate in workgroups and meetings. Attend all required training classes. Escalate issues to management as needed. Maintain confidentiality. Read and apply policies and procedures to make appropriate decisions. Coordinate functions and work cooperatively with others. Explain processes and procedures to others; performs other related duties as assigned.

MINIMUM QUALIFICATIONS: To qualify you must have a High School Diploma or GED. Experience in medical billing, A/R, insurance, or related duties; Knowledge of CPT and ICD10 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.

NYU Langone Nevada is opening a new state-of-the art Business office in Las Vegas, Nevada. The Center will be a 180+ seat office that provides services to support our physician network in several disciplines. The new center will be staffed with a team ready to provide patients and providers with an exceptional high quality, friendly and efficient experience using the latest equipment and technology.

Required Skills Required Experience