Billing Representative II (A/R) - Boynton Beach, Florida

NYU Langone Health; Boynton Beach (FL); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellness program

Generous time-off program

Job summary

NYU Langone Health is seeking a Billing Representative III in Boynton Beach, Florida. This role involves advanced billing tasks including claims management and denial resolution while supporting staff with escalated issues. Candidates should have a high school diploma, medical billing experience, and strong critical thinking skills. The position offers comprehensive benefits, including financial security and wellness programs to support staff personally and professionally.

Qualifications

• 3 years experience in medical billing or related duties.
• Knowledge of CPT and ICD10 coding.
• Ability to type 35 words per minute or greater.

Responsibilities

• Perform advanced billing and financial clearance functions.
• Participate in training and process improvement efforts.
• Communicate with providers and patients regarding claims.

Skills

Medical billing experience

Communication skills

Critical thinking

Keyboarding skills

Education

High School Diploma or GED

Tools

Medical billing software

Job description

1158617_RR00117782 Job ID: 1158617_RR00117782

Position Summary

We have an exciting opportunity to join our team as a Billing Representative III (A/R) - Florida. In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications and patient cost estimates. This role provides support to staff with escalated issues and participates in training and process improvement efforts.

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.
• Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
• 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.
• Review reports to identify revenue opportunities, unpaid claims, delays in obtaining authorizations/financial clearance.
• Adhere to general practices and departmental 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.
• Work following operational policies and procedures, and regulatory requirements.
• 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.
• Responsible for assisting other billing representatives with difficult and escalated issues.
• Assist department supervisor with special projects and staff training.
• Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
• 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. (e.g. 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; 3 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.

Personal Characteristics

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.

Benefits

NYU Langone Florida provides its staff with a comprehensive benefits and wellness package that supports their career, family and personal life. Employees have access to financial security benefits, a generous time‑off program and employee resource groups for peer support. All employees also enjoy a holistic wellness program focusing on physical, mental, nutritional, sleep, social, financial and preventive care.

Equal Opportunity Employment

NYU Langone Florida 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.

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