Billing Representative I (AR) - Central Billing Office *Onsite - Boynton Beach, FL*

NYU Langone Florida; Orlando, Boynton Beach (FL, FL); On-site; USD 35,000 - 55,000; Full time

Job summary

Join a forward-thinking organization as a Billing Representative I, where you will play a vital role in ensuring accurate claims processing and follow-up. This position offers an engaging environment where you will be responsible for submitting claims, correcting errors, and communicating with various stakeholders to resolve billing issues. You will have the opportunity to enhance your skills while working collaboratively within a supportive team. This is a fantastic chance to contribute to the healthcare sector and ensure that patients receive the care they need without financial barriers. If you have a passion for detail and a commitment to excellence, this role is perfect for you.

Qualifications

• 2 years experience in medical billing or similar role.
• Knowledge of CPT and ICD10 codes.

Responsibilities

• Submit claims and follow up on unpaid balances.
• Assist with medical record requests and billing projects.

Skills

Medical Billing

Accounts Receivable

CPT and ICD10 Knowledge

Effective Communication

Education

High School Diploma or GED

Tools

Medical Billing Software

Job description

We have an exciting opportunity to join our team as a Billing Representative I (AR) - Boynton Beach, FL.

In this role, the Billing Representative I (AR) submits claims, follows up on unpaid balances (insurance or patient), corrects errors, enters claim information, submits authorization/precertification requests with insurance companies, follows up on denied claims and/or authorizations, and submits appeals as necessary. The Billing Representative I also assists with other related tasks including medical record requests, reviewing accounts, and billing projects.

Job Responsibilities:

1. Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
2. Perform daily tasks in assigned work queues and according to manager assignments.
3. Identify payer, provider credentialing, and/or coding issues and address them with management.
4. Follow workflows provided in training classes and request additional training as needed.
5. Utilize CBO Pathways as a guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned work queue(s) using payer websites, billing system information, and training within the expected timeframe;
6. Adhere to general practices and FGP guidelines on compliance issues and patient confidentiality.
7. Communicate with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third-party payers.
8. 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; perform other related duties as assigned.

Minimum Qualifications:

• High School Diploma or GED
• 2 years experience in a similar role
• Experience in medical billing, accounts receivable, insurance, or related duties
• Knowledge of CPT and ICD10 and medical billing software
• Effective communication skills with all levels of the organization

Preferred Qualifications:

• Experience with pre-certification authorizations

NYU Langone Florida 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 Florida's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit this link for more information.