Billing Specialist II: Revenue & Claims Expert

NYU Langone Health

Boynton Beach (FL)

On-site

USD 40,000 - 60,000

Full time

3 days ago
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Benefits offered by this job

Comprehensive benefits
Wellness program
Employee resources groups

Job summary

NYU Langone Florida is seeking a Billing Representative II to perform mid-level billing and financial clearance tasks. Responsibilities include claims submission, AR follow-up, insurance authorizations, and patient estimates, with emphasis on preventing denials and maximizing revenues.

The ideal candidate has experience in medical billing, CPT/ICD-10 knowledge, and strong communication skills. The role requires accuracy in data entry and collaboration with providers and management in a

Qualifications

  • High School Diploma or GED required.
  • Experience in medical billing, accounts receivable, insurance, or related duties.
  • Knowledge of CPT and ICD-10; medical billing software; English usage, grammar and spelling; basic math.
  • 2 years in a similar billing role preferred.
  • Light, accurate keyboarding; typing ~35 wpm preferred.

Responsibilities

  • Perform billing tasks including data entry, claim review, charge review, AR follow-up, and authorizations.
  • Provide input on billing processes to maximize revenues.
  • Handle daily tasks in work queues for claims, authorizations, and financial clearance.
  • Identify payer/coding issues and address with management.
  • Escalate issues and participate in training as needed.
  • Appeal complex denials with payer policies and medical records.

Skills

Billing
Accounts Receivable
Insurance authorizations
Precertifications
Communication skills
Problem-solving
Data entry
Typing speed 35 wpm

Education

High School Diploma or GED

Tools

Pathways system
Billing software

Job description

NYU Langone Florida is seeking a Billing Representative II to perform mid-level billing and financial clearance tasks. Responsibilities include claims submission, AR follow-up, insurance authorizations, and patient estimates, with emphasis on preventing denials and maximizing revenues.

The ideal candidate has experience in medical billing, CPT/ICD-10 knowledge, and strong communication skills. The role requires accuracy in data entry and collaboration with providers and management in a

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