Billing Representative I - Boynton Beach, Florida

NYU Langone Health • Boynton Beach, FL

2d • Onsite

About The Position

Under general direction, the Billing Representative I performs entry-level billing and financial clearance activities, including claim submission, accounts receivable follow-up, insurance authorizations, precertification, preparation of patient estimates, and appeals as necessary. The role follows established workflows and collaborates with staff and other departments to support accurate and timely processing.

The representative completes assigned billing and financial clearance work, follows departmental and operational policies and regulatory requirements, and communicates with providers, patients, coders, and other responsible parties to resolve issues. The role also supports a positive patient experience through professional communication, collaboration, and proactive service recovery.

Requirements

• High school diploma or GED.
• One year of experience in a similar role.
• Experience in medical billing, accounts receivable, insurance, or related duties.
• Knowledge of CPT and ICD-10.
• Knowledge of medical billing software.
• Knowledge of English usage, grammar, and spelling.
• Basic math skills.
• Light, accurate keyboarding skills.
• Strong verbal and written communication skills and 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.
• Ability to communicate effectively with all levels of the organization.

Nice To Haves

• Typing speed of 35 words per minute or greater is preferred; a typing assessment will be administered prior to onboarding.

Responsibilities

• Perform assigned billing tasks, which may include data entry, claim review, charge review, accounts receivable follow-up, insurance authorization, and patient estimates.
• Provide input on system edits, processes, policies, and billing procedures to help maximize revenue.
• Complete daily tasks in assigned claims, authorization, and financial clearance work queues according to manager assignments.
• Identify payer, provider credentialing, and coding issues and address them with management.
• Follow workflows provided in training and request additional training as needed.
• Use Pathways, payer websites, billing system information, and training to resolve unpaid or incorrectly paid claims, authorize procedures, and prepare patient estimates within expected timeframes.
• Review reports to identify revenue opportunities and unpaid claims.
• Follow departmental practices and guidelines for compliance and patient confidentiality.
• Communicate with providers, patients, coders, and other responsible parties to resolve billing or clearance issues.
• Follow operational policies, procedures, and regulatory requirements.
• Participate in workgroups and meetings and attend required training classes.
• Cross-cover other office areas as assigned, including Accounts Receivable/Denials, Customer Service, or Authorizations.
• Perform other related duties as assigned.
• Apply the Billing Department Service Strategy CARES principles (Connect, Align, Respond, Ensure, and Sign-Off) in patient and colleague interactions.
• Greet patients warmly and professionally, state name and role, and clearly communicate interaction steps as appropriate.
• Collaborate with colleagues and site management to provide a positive experience and timely resolution of patient interactions and inquiries in person, by phone, or through electronic messaging.
• Anticipate patient needs and participate in service recovery using the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), escalating to leadership as appropriate.
• Share opportunities to improve patient experience and access with appropriate leadership.
• Partner with internal and external team members to support collaboration and a positive patient experience.
• Help ensure practice staff understand the Access Agreement gold standard principles.

Benefits

• Comprehensive benefits and wellness package.
• Financial security benefits.
• Generous time-off program.
• Employee resource groups for peer support.
• Employee wellness program covering physical, mental, nutritional, sleep, social, financial, and preventive-care well-being.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED