NYU School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. For more information, go to med.nyu.edu, and interact with us on Facebook, Twitter and Instagram.
We have an exciting opportunity to join our team as a FGP Billing Coordinator, Bariatrics Surgery.
In this role, the successful candidate coordinates all aspects of charge submission and accounts receivable in defined FGP(s). Prepares financial and/or operational analyses and reports, and audits current procedures to monitor and improve efficiency of operations. Reviews and advises physicians and staff with regard to local and national coding and reimbursement policies. Works with patients and guarantors to clarify financial responsibilities.
Working directly with the department supervisor on special projects and staff training.
Work closely with provider offices on patient issues.
Appeal carrier denials through review of coding, contracts, and medical records
Makes appropriate corrections to system to satisfy/edit payer requirements and re-submit claims as needed.
Performs billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
Provides input on system edits, processes, policies, and billing procedures to ensure maximization of revenues;
Performs daily tasks in assigned work queues and according to manager assignments;
Identifies payer and provider credentialing issues and addresses them with management and FGP Credentialing;
Follows workflows provided in training classes and requests additional training as needed;
Enters account notes using standard formatting;
Review reports to identify revenue opportunities and unpaid claims;
Completes monthly action plans;
Uses payer websites, billing system and/or communicates with providers, patients, coders, or other responsible persons, to ensure the correctness and completeness of charges and claims, or to follow-up on accounts receivable to ensure that items in assigned work queue(s) are resolved within required timeframes;
Ensures that work complies with operational policies and procedures, and regulatory requirements;
Participates in workgroups and meetings; Attends all required training classes; escalates issues to management as needed; maintains confidentiality; reads and applies policies and procedures to make appropriate decisions; coordinates functions and works cooperatively with others; explains processes and procedures to others; performs other related duties as assigned
Prepares and submits deposits to ensure steady cash flow. Reconciles deposits compared to the billing log.
Manages all aspects of charge submission and accounts receivable in defined FGP(s). Oversee practice operations as they relate to the aforementioned and implement change where necessary
Ensures timely and accurate collection, preparation and verification of billing information submitted to the outsourced billing service
Serves as a liaison to the outside billing service for questions, data request, and other inquiries; reviewing charge encounter forms for complete CPT code, ICD-9 code and other required billing information on a daily basis
Reviews office procedures as they relate to appropriate internal controls; recommends suggestions, ideas and solutions to improve operational processes
Works with staff and providers to maximize operational efficiency and clearly explains proper work procedures and methods for charge submission and accounts receivable follow-up
Serves as billing coordinator/ back up for FGP practices
Maintains current Certified Procedural Coder (CPC) certificate
To qualify you must have a Bachelor's degree with 3-5 years of relevant work experience. Current coding certification (CPC).
Required Licenses: Certified Procedural Coder
Knowledge of Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math. Bachelors degree.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU School of Medicine 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.
NYU School of Medicine 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 School of Medicine's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.
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Internal Number: 62467682
About NYU Langone Health
NYU Langone Health, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.nyulangone.org.