Billing Representative I (Auth) - Las Vegas, Nevada

NYU Grossman School of Medicine; Las Vegas (NV); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Financial security benefits

Generous time-off program

Employee resource groups for peer).

Holistic employee wellness program

Job summary

NYU Langone Nevada is seeking a Billing Representative I to join our Finance team in Las Vegas. The role performs entry-level billing and financial clearance, including claim submission, AR follow-up, authorizations, precertification, and patient estimates, following established workflows.

The ideal candidate has medical billing experience, familiarity with CPT/ICD-10, and strong communication skills. This on-site position offers opportunities to learn, collaborate across departments, and

Qualifications

• Experience in medical billing, accounts receivable, insurance, or related duties.
• Knowledge of CPT and ICD10.
• Strong verbal and written communication skills.
• Minimum 1 year of experience in a similar role.
• Typing speed of ~35 wpm or higher.

Responsibilities

• Perform billing tasks including data entry, claim review, and accounts receivable follow-up.
• Handle insurance authorizations and precertifications; prepare patient estimates.
• Submit appeals as necessary and address payer/credentialing issues with management.
• Follow workflows and training; participate in team workgroups and training.
• Communicate with providers, patients, and staff to resolve billing or clearance issues.
• Adhere to compliance policies and protect patient confidentiality.
• Cross-cover other areas such as Customer Service or Authorizations as needed.

Skills

Medical billing

Accounts receivable

Typing 35 wpm

Communication skills

Time management

Team collaboration

Education

High School Diploma or GED

Tools

Billing software

Job description

Position Summary: We have an exciting opportunity to join our team as a Billing Representative I. 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, submit appeals as necessary. This role follows established workflows and collaborates with staff and other departments to ensure accurate and timely processing.

Job Responsibilities:

• Perform billing tasks assigned by management which may include 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 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 Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims, for authorizing procedures, or for patient estimates in assigned work queue(s) using payer websites, billing system information and training within expected timeframe.
• 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 including 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 patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
• 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: To qualify you must have a High School Diploma or GED. Experience in medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10; medical billing software; English usage, grammar and spelling; basic math; 1 years experience in a similar role. Light, accurate keyboarding skills required. Prefer that candidates type 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding. Strong verbal and written communication skills, with the ability to collaborate across departments. Strong critical thinking and effective listening skills Professional demeanor and positive attitude required Time management skills required 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.

• financial security benefits
• a generous time-off program
• employee resources groups for peer support
• holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.

NYU Langone Nevada 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. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Nevada is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

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