Billing Representative I AR Boynton Beach Florida
NYU Langone Health
Position Summary We have an exciting opportunity to join our team as a Faculty Group Practice Billing Representative I. In this role, the successful candidate performs entry‑level billing and financial clearance activities, including claim submission, accounts receivable follow‑up, insurance authorizations, precertification, preparation of patient estimates, and submitting appeals as necessary. This role follows established workflows and collaborates with staff and other departments to ensure accurate and timely processing. Job Responsibilities Perform billing tasks assigned by management, including data entry, claim review, charge review, accounts receivable follow‑up, insurance authorization, patient estimates, 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 for claims, authorizations, and financial clearance tasks according to manager assignments. Identify payer, provider credentialing, and coding issues and address them with management. Follow workflows provided in training classes and request additional training as needed. Utilize Pathways to determine actions needed to resolve unpaid or incorrectly paid claims, authorize procedures, or prepare patient estimates in assigned work queue(s) using payer websites, billing system information, and training within expected timeframe. Review reports to identify revenue opportunities and unpaid claims. Adhere to general practices and departmental guidelines on compliance issues and patient confidentiality. Communicate with providers, patients, coders, or other responsible persons to resolve billing or clearance issues. Work following operational policies and procedures and regulatory requirements. Participate in workgroups and meetings, and attend all required training classes. 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 Drive 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). Greet patients warmly and professionally, state name and role, and clearly communicate each step of the care interaction as appropriate. Work 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 anticipate patient needs, participate in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate. Share ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. Partner 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 High School Diploma or GED. Experience in medical billing, accounts receivable, insurance, or related duties. Knowledge of CPT and ICD‑10, and medical billing software. English usage, grammar and spelling, basic math. One year of experience in a similar role. Light, accurate keyboarding skills; type 35 words per minute (WPM) or greater on the typing assessment that will be administered prior to onboarding. 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. Time‑management skills. 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. 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. View Know Your Rights: Workplace discrimination is illegal. #J-18808-Ljbffr NYU Langone Health
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