NYU Langone Health
Billing Representative I (Accounts Receivable) - Boynton Beach, Florida
NYU Langone Health, Boynton Beach, Florida, United States, 33435
Billing Representative I (Accounts Receivable) – Boynton Beach, Florida
We have an exciting opportunity to join our team as a Billing Representative I in our billing and financial clearance activities at NYU Langone.
Position Summary Under general direction the Billing Representative I performs entry-level billing and financial clearance activities, including claim submission, accounts receivable follow‑up, insurance authorizations, precertification, preparation of patient estimates, and submit appeals as necessary. This role follows established workflows and collaborates with staff and other departments to ensure accurate and timely processing as part of the revenue cycle team.
Job Responsibilities
Perform billing tasks assigned by management (data entry, claim review, charge review, accounts receivable follow‑up, insurance authorization, patient estimates, or other related responsibilities).
Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
Perform daily tasks in assigned work queues for claims, authorizations, and financial clearance tasks per manager assignments.
Identify payer, provider credentialing, and coding issues and address them with management.
Follow workflows provided in training classes and request additional training as needed.
Utilize Pathways to determine actions needed to resolve unpaid or incorrectly paid claims, authorize procedures, or generate patient estimates in assigned work queues.
Review reports to identify revenue opportunities and unpaid claims.
Adhere to general practices and departmental guidelines on compliance issues and patient confidentiality.
Communicate with providers, patients, coders, or other responsible persons to resolve billing or clearance issues.
Work following operational policies and procedures, and regulatory requirements.
Participate in workgroups and meetings; attend all required training classes.
Cross cover other areas in the office as assigned by management (Accounts Receivable/Denials, Customer Service, or Authorizations).
Other related duties as assigned.
Patient Experience And Access
Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign‑Off).
Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate.
Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
Shares ideas or any observed areas of opportunity to improve patient experience and access with appropriate leadership.
Partners with internal and external team members to support collaboration and promote a positive patient experience.
Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.
Minimum Qualifications High School Diploma or GED. One year of experience in medical billing, accounts receivable, insurance, or related duties; knowledge of CPT and ICD‑10; experience with medical billing software; English usage, grammar and spelling; basic math; light accurate keyboarding skills (typing 35 wpm or greater). Strong verbal and written communication skills, ability to collaborate across departments, strong critical thinking and effective listening skills, professional demeanor and positive attitude.
Time Management Skills Ability to develop and maintain effective working relationships with peers, other staff and leadership; qualified candidates must be able to effectively communicate with all levels of the organization.
Benefits & Wellness NYU Langone Florida provides a comprehensive benefits and wellness package including financial security benefits, a generous time‑off program, employee resource groups, and a holistic wellness program focusing on physical, mental, nutritional, sleep, social, financial, and preventive care. This supports employees at all stages of life, from career development to family planning and retirement.
NYU Langone Florida is an equal‑opportunity employer committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. Applications must be completed online.
View Know Your Rights: Workplace discrimination is illegal.
#J-18808-Ljbffr
Position Summary Under general direction the Billing Representative I performs entry-level billing and financial clearance activities, including claim submission, accounts receivable follow‑up, insurance authorizations, precertification, preparation of patient estimates, and submit appeals as necessary. This role follows established workflows and collaborates with staff and other departments to ensure accurate and timely processing as part of the revenue cycle team.
Job Responsibilities
Perform billing tasks assigned by management (data entry, claim review, charge review, accounts receivable follow‑up, insurance authorization, patient estimates, or other related responsibilities).
Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
Perform daily tasks in assigned work queues for claims, authorizations, and financial clearance tasks per manager assignments.
Identify payer, provider credentialing, and coding issues and address them with management.
Follow workflows provided in training classes and request additional training as needed.
Utilize Pathways to determine actions needed to resolve unpaid or incorrectly paid claims, authorize procedures, or generate patient estimates in assigned work queues.
Review reports to identify revenue opportunities and unpaid claims.
Adhere to general practices and departmental guidelines on compliance issues and patient confidentiality.
Communicate with providers, patients, coders, or other responsible persons to resolve billing or clearance issues.
Work following operational policies and procedures, and regulatory requirements.
Participate in workgroups and meetings; attend all required training classes.
Cross cover other areas in the office as assigned by management (Accounts Receivable/Denials, Customer Service, or Authorizations).
Other related duties as assigned.
Patient Experience And Access
Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign‑Off).
Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate.
Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
Shares ideas or any observed areas of opportunity to improve patient experience and access with appropriate leadership.
Partners with internal and external team members to support collaboration and promote a positive patient experience.
Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.
Minimum Qualifications High School Diploma or GED. One year of experience in medical billing, accounts receivable, insurance, or related duties; knowledge of CPT and ICD‑10; experience with medical billing software; English usage, grammar and spelling; basic math; light accurate keyboarding skills (typing 35 wpm or greater). Strong verbal and written communication skills, ability to collaborate across departments, strong critical thinking and effective listening skills, professional demeanor and positive attitude.
Time Management Skills Ability to develop and maintain effective working relationships with peers, other staff and leadership; qualified candidates must be able to effectively communicate with all levels of the organization.
Benefits & Wellness NYU Langone Florida provides a comprehensive benefits and wellness package including financial security benefits, a generous time‑off program, employee resource groups, and a holistic wellness program focusing on physical, mental, nutritional, sleep, social, financial, and preventive care. This supports employees at all stages of life, from career development to family planning and retirement.
NYU Langone Florida is an equal‑opportunity employer committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. Applications must be completed online.
View Know Your Rights: Workplace discrimination is illegal.
#J-18808-Ljbffr