Billing Representative I - Boynton Beach, Florida

NYU Langone Health • Boynton Beach, FL

1d

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. The role follows established workflows and collaborates with staff and other departments to support accurate and timely processing.

The representative performs assigned billing and financial clearance tasks, works in designated claims and authorization queues, reviews reports for revenue opportunities and unpaid claims, and helps resolve payer, credentialing, coding, and billing issues. The role uses Pathways, payer websites, billing system information, and training to resolve claims, authorize procedures, and prepare patient estimates within expected timeframes. It also involves following compliance, confidentiality, operational, and regulatory requirements; attending training and meetings; and cross-covering other office areas as assigned.

The role supports a positive patient and colleague experience by applying the Billing Department’s CARES service principles and the LEARN service-recovery model. The representative communicates clearly and professionally, works with colleagues and site management to resolve inquiries, anticipates patient needs, shares improvement opportunities with leadership, and collaborates with internal and external team members.

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, 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 on the typing assessment administered before onboarding.

Responsibilities

• Perform assigned billing tasks, which may include data entry, claim review, charge review, accounts receivable follow-up, insurance authorization, patient estimates, and related duties.
• Provide input on system edits, processes, policies, and billing procedures to help maximize revenue.
• Complete daily tasks in assigned claims, authorizations, and financial clearance work queues according to manager assignments.
• Identify payer, provider credentialing, and coding issues and address them with management.
• Follow training workflows 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 compliance practices and guidelines for patient confidentiality.
• Communicate with providers, patients, coders, and other responsible persons to resolve billing or financial clearance issues.
• Work in accordance with 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 CARES principles in patient and colleague interactions, greet patients professionally, and communicate interaction steps as appropriate.
• Collaborate with colleagues and site management to support positive experiences and timely resolution of patient inquiries in person, by phone, or electronically.
• Anticipate patient needs, apply the LEARN model for service recovery, and escalate issues to leadership as appropriate.
• Share ideas and observed opportunities to improve patient experience and access with appropriate leadership.
• Partner with internal and external team members to promote 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.
• Holistic 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