Billing Representative III (A/R) - Central Billing Office Onsite - Boynton Beach, FL

New York University Langone Medical Center

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Boynton Beach, FL, USA

Posted on Aug 31, 2024

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1130819_RR00094095

Billing Representative III (A/R) – Central Billing Office Onsite – Boynton Beach, FL

- 1130819_RR00094095
- Finance/Accounting/Billing, CBO South Accounts Receivable (F103), NYU Langone Health in Florida
- Full-Time/Regular
- NYU Langone Health in Florida

- Monday – Friday

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ABOUT NYU LANGONE HEALTH

NYU Langone Health is a world-class, patient-centered, integrated academic medical center. Ranked as the #1 Hospital for quality and patient safety by Vizient, Inc., and with 10 clinical specialties among the top 10 in the nation according to U.S. News & World Report, NYU Langone’s culture is rooted in excellence in patient care, education, and research. NYU Langone comprises more than 320 locations throughout the New York area and in Florida, including six inpatient locations, a children’s hospital, and four emergency rooms. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, NYU Grossman School of Medicine, and NYU Grossman Long Island School of Medicine. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube, and Instagram.

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Working at NYU Langone Health

At NYU Langone Health, there are numerous areas for you as a leadership professional to make an impact on our organization. As one of the nation’s leading medical centers, we need bright, innovative people to step up and take charge of the many initiatives currently taking place here. From our brand new 830,000-square-foot Helen L. and Martin S. Kimmel Pavilion to our new 16 story Science Building, NYU Langone Health is ripe with career-opportunities that are sure to transform the way we think about medical care.

Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from NYU Langone. We invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.

Position Summary:
We have an exciting opportunity to join our team as a Billing Representative III.

Under general direction submits claims. Follows up on unpaid balances (insurance or patient), corrects errors, enters claim information, submits authorization/precertification requests with insurance companies, follows up on denied claims and/or authorizations, and submits appeals as necessary as a part of the revenue cycle team.

Job Responsibilities:

Cross-cover other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Service, or Authorizations.
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 a guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned work queue (s) using payer websites, billing system information, and training within the expected timeframe.
Review reports to identify revenue opportunities and unpaid claims.
Adhere to general practices and FGP 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. Explain processes and procedures to others; perform other related duties as assigned.
Responsible for assisting the professional billing staff within the CBO with difficult and escalated issues.
Assist department supervisor on special projects and staff training.
Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
Make appropriate corrections to the system to satisfy/edit payer requirements and re-submit claims as needed.

Patient Experience & Access

•Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision, and values and promoting excellence in the patient experience, during every encounter.

•Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign)

•Greets patients warmly and professionally, stating name and role, and 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 Patient Access Center and Central Billing Office 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.
Light, accurate keyboarding skills are required. Candidates must receive a score of 35 words per minute (wpm) or greater on the typing assessment that will be administered before onboarding. 3 years of experience.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Florida 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 Langone Florida’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.

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How Our Employees Grow

Diana P.

Manager–School Health Clinical Services

“The Family Health Centers at NYU Langone Health offers me the opportunity to positively impact the lives of patients and their families. I chose a career here to make a difference at an institution with a reputation for excellence. NYU Langone is patient and employee-centered and they support our professional growth and development by offering a comprehensive benefits package and generous tuition reimbursement.”

MAR 2018Nurse Practitioner
JUL 2019Manager–School Health Clinical Services

Ariana C.

Associate Director, FGP Professional Billing Operations

“I was instantly attracted to the culture at NYU Langone Health. I love the fast-paced environment and how there are so many opportunities for career growth. We are constantly expanding, which helps me learn new things and meet new and interesting people with diverse backgrounds.”

DEC 2014Associate Revenue Cycle Systems Analyst
AUG 2015Revenue Cycle Systems Analyst
SEPT 2017Manager, Family Health Centers Revenue Operations
JAN 2021Assistant Director, Professional Billing Operations
JUNE 2024Associate Director, FGP Professional Billing Operations

Olga S.

Coding Quality Manager at NYU Langone Health in Florida

“I am very proud to work for one of the best hospitals in New York! NYU Langone Health is a great institution that cares about patients and supporting employees. My role as a manager is to make sure that my team members are working as a team to drive our mission forward. Effective teamwork achieves much more than any individual can!”

APRIL 2015Biller II
DEC 2017Supervisor- Billing
DEC 2019Faculty Group Practice Billing Supervisor
MARCH 2021 FGP Billing Manager
AUG 2021Coding Quality Manager

Yannique S.

Credentials Associate

“My daughter was born at NYU Langone Health where we received exceptional care. That was when building a career at NYU Langone became a goal of mine. I wanted to be just like the individuals who surrounded us in our time of need, and I knew I wanted to make a positive impact. Today, I get to do just that as a member of the Medical Staff Services Department. The work I perform each day is crucial in maintaining high standards of patient care and safety within our organization.”

MARCH 2017Representative, Patient Access Services
DEC 2020Business Office Associate
APR 2021Credentialing Assistant
JUL 2021Credentials Associate

Eileen P.

Director, Revenue Cycle Initiatives

“I chose NYU Langone Health because I wanted to be a part of a world-class health system. I feel a sense of pride working here and feel supported in a truly cohesive and diverse working environment. I have taken a number of career development courses related to leadership. The expansion in training and development curriculums over the years has really been impressive and it’s a testament to how much NYU Langone wants to invest in and develop their in-house talent!”

MARCH 2012Implementation Manager Professional Billing
JULY 2013Manager-Professional Billing
AUG 2015Assistant Director, FGP Revenue Cycle Initiatives
SEPT 2017Associate Director, FGP Revenue Cycle Initiatives
FEB 2021Director, Revenue Cycle Initiatives

Adair L.

Associate Director, Development Administration

“NYU Langone Health is not only my employer, it’s also a community that I am very proud to be a part of.”

JULY 2014Project Associate
OCT 2015Development Coordinator
APR 2016Assistant Director Special Events
FEB 2018Assistant Director Development
JULY 2019Associate Director, Development Administration

Tanisha D.

Program Coordinator

“I saw that there were many opportunities to grow within the organization and used the tuition remission offering at NYU Langone Health to obtain my master’s degree. NYU Langone celebrates their employees and genuinely wants to hire from within, so take advantage of the resources available to you and speak to members of the Talent Acquisition Team, who are helpful.”

FEB 2015Program Associate
NOV 2015FGP Medical Secretary
OCT 2016Administrative Assistant
APRIL 2021Program Coordinator

Doris V.

Revenue Cycle Manager – Pediatrics Department

“It’s not just that NYU Langone Health cares about their employees – it’s the fact that we are family. I quickly learned that in order to grow and to be successful you need to collaborate with others, work hard and deliver excellence.”

JULY 2004Project Assistant I/II
NOV 2006Billing Specialist
FEB 2013Revenue Integrity Analyst
AUG 2015Sr. Revenue Integrity Analyst
JAN 2016Manager Professional Billing
AUG 2017FGP Revenue Cycle Manager
APR 2018Revenue Cycle Manager Pediatrics Dept.

Isiuwa O.

Respiratory Therapist

“NYU Langone Health delivers high-quality healthcare with compassion, dignity, and respect to all, without exception. When I was hired as a respiratory therapist, I saw the opportunity to contribute to an exciting forward-thinking, and fast-moving department. I love working in a department where everyone is collaborative and has a high work ethic.”

JUNE 2019Nursing Assistant
OCT 2021Clerical Services Assoc.
OCT 2022Respiratory Therapist

Taslema L.

Talent Acquisition Specialist

At NYU Langone Health, I’ve been fortunate to have leaders that supported my growth within the institution. I have taken many courses that NYU Langone offers, which have been extremely valuable in helping me become the professional I am today. I recently completed the Team Leadership Development Program which has provided me with tools to upskill to the next step in my career. The opportunities here are endless.

JUN 2011Intern
JUN 2012Staffing Assistant
SEP 2015Talent Acquisition Assistant
APR 2016Assistant Talent Acquisition Specialist
SEP 2018Talent Acquisition Specialist

Nazneen H.

Clinical Charge Nurse Auditor in Revenue Management Initiatives

“I was fortunate to receive firsthand training from some of the founding team members of my department. This made my onboarding experience invaluable and now I will get to pass on my knowledge and experience to future new hires within the department and pay it forward. The collaborative spirit at NYU Langone Health has created an excellent work culture where I can work alongside colleagues who share our same company vision to serve, teach, and discover.”

Himanshu T.

Senior Accounts Payable Associate

“It has been such a privilege to be a part of NYU Langone Health. It’s a place filled with hard work, cheerful coworkers, and supportive management. My supervisor and manager motivated me to grow personally and professionally. The career development resources offered, such as professional development classes and programs have greatly contributed to my growth.”

April 2021Accounts Payable Associate
Aug. 2022Senior Accounts Payable Associate

What Our Employees Say

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