Billing Coordinator II (FGP) - Manhattan, Child Adolescent Psychiatry

NYU Langone Health • New York, NY

10h • $66,300 - $81,900 • Onsite

About The Position

This role is for a Billing Coordinator II within the NYU Langone Health Faculty Group Practice Central Billing Offices (FGP CBO), focusing on Child Adolescent Psychiatry in Manhattan. The successful candidate will be responsible for coordinating coding review, claim submission, charge reconciliation, and follow-up on denied claims. This position involves providing reports, offering feedback to providers to improve documentation and maximize revenue, and training practices on coding and reimbursement policies. The role also includes working with patients and guarantors on financial responsibilities.

Requirements

• Bachelor's Degree with a minimum of 3+ years of relevant work experience or equivalent combination or training and relevant work experience, required.
• Ability to multi-task and prioritize.
• Good communication, interpersonal, and computer skills.
• Ability to develop and maintain effective working relationships with staff and patients.
• Detail oriented with high level of accuracy for reviewing charge batch submissions, analyzing and correcting coding denials, preparing, and presenting analyses.
• Stays up to date with industry requirements.
• Knowledge of medical terminology required.
• Familiar with standard office equipment.
• Qualified candidates must be able to effectively communicate with all levels of the organization.

Nice To Haves

• Staff who possess coding certification at the time of hire or who obtain coding certification while employed by NYU must maintain active status of certification.

Responsibilities

• Take initiative to teach and share new information and provide constructive feedback.
• Communicate delays and workqueue issues to management daily.
• Lead and collaborate with practice personnel and administration to implement change to practice operations where necessary, to improve accuracy of information and enhance revenue.
• Ensure timely and accurate collection, preparation, and verification of billing information submitted in billing system.
• Review billing collection and denial reports and recommend changes on how to improve issues.
• Serve as a liaison to coding vendor for questions, data requests, and other inquiries.
• Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
• Compare coding to notes/documentation and communicate with providers to clarify errors, correct coding and prepare appeals and reconsideration requests.
• Appeal complex denials through review of payer policies, coding, contracts, and medical records.
• Utilize subject matter experts as needed.
• Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
• Collects and applies payments for self-pay, deductibles, co-payments and co-insurance into the appropriate system(s).
• Monitors patient accounts to proactively ensure there aren't any surprise issues that may impact patient experience, financial performance or clinical schedules.
• Manages relationship between multiple stakeholders including the IBH administrative team, Fink Center administrative team and Child Study Center leads.
• Serves as the point person for issues related to patient claims and scheduling for the IBH and Consult Liaison services.
• Performs billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
• Performs daily tasks in assigned work queues and according to manager assignments.
• Provides input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
• Reviews reports to identify revenue opportunities and unpaid claims.
• Contact insurance companies to follow up on claims as necessary.
• Adheres to general practices and FGP guidelines on compliance issues and patient confidentiality.
• Communicates with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third party payers.
• Cross-covers other areas in the office as assigned by management, including accounts receivable/denials, customer service, authorizations, patient scheduling, Epic template build etc.
• Identifies payer, provider credentialing, and/or coding issues and address them with management.
• Follows workflows provided in training classes and request additional training as needed.
• Utilizes Central Billing Office (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 expected timeframe.
• Assists the professional and hospital billing staff within the CBO with difficult and escalated issues.
• Reads and apply policies and procedures to make appropriate decisions and escalates issues to management as needed.
• Responds to multi-channel inquiries from patients, physicians, employees, and other callers regarding appointments, referrals, provider messages, and services in accordance with established NYU Langone Faculty Group Practice (FGP) guidelines.
• Supports the scheduling process by reviewing providers insurance participation status and coverage of patients insurance benefits.
• Completes the insurance pre-authorization process to support visit scheduling.
• Manages conversations with a high level of sensitivity and use good judgment when determining and documenting appropriate disposition.

Benefits

• Financial security benefits
• Generous time-off program
• Employee resource groups for peer support
• Holistic employee wellness program (physical, mental, nutritional, sleep, social, financial, and preventive care)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level