FGP - Billing Representative - **On Site, Boynton Beach**
Company: NYU Langone Health - Symphony Talent
Location: Boynton Beach
Posted on: January 26, 2023
Job Description:
Position Summary:
We have an exciting opportunity to join our team as a Billing
Representative II - Authorizations (SOUTH).
In this role, the successful candidate works under general
direction, bill, follows-up, correct, and enter claim information
in the billing system as assigned by management.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.
- Responsible for leading Billing Representatives in the absence
of their supervisor.
- Make appropriate corrections to system to satisfy/edit payer
requirements and re-submit claims as needed.
- Appeal complex denials through review of payer policies,
coding, contracts, and medical records.
- Work closely with provider offices on patient issues.
- Assist department supervisor on special projects and staff
training.
- Responsible for assisting the professional billing staff within
the CBO with difficult and escalated issues.
- 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.
- Work following operational policies and procedures, and
regulatory requirements.
- Ensure that items in assigned work queue(s) are resolved within
required timeframes using payer website, billing systems, and CBO
pathways.
- Communicate with providers, patients, coders, or other
responsible persons to ensure that claims are correctly processed
by third party payers.
- Adhere to general practices and FGP guidelines on compliance
issues and patient confidentiality.
- Request coding guidance as needed.
- Review and resolve uncollected accounts and prepares charge
corrections.
- Complete monthly action plans.
- Review reports to identify revenue opportunities and unpaid
claims.
- Enter account notes using standard formatting.
- Utilize CBO Pathways as guide for determining actions needed to
resolve unpaid or incorrectly paid claims.
- Follow workflows provided in training classes and request
additional training as needed.
- Identify payer and provider credentialing issues and address
them with management.
- Perform daily tasks in assigned work queues and according to
manager assignments.
- Provide input on system edits, processes, policies, and billing
procedures to ensure maximization of revenues.
Minimum Qualifications:
To qualify you must have a High School Diploma or equivalency.
Experience in medical billing, A/R, insurance, or related duties;
Knowledge of CPT and 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; 2 years
experience in a similar role.Preferred Qualifications:
Previous experience with medical billing and/or collections.
Excellent interpersonal skills, confident demeanor an attention to
detail.
Keywords: NYU Langone Health - Symphony Talent, Boynton Beach , FGP - Billing Representative - **On Site, Boynton Beach**, Accounting, Auditing , Boynton Beach, Florida
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