Billing Representative I (Auth) - Las Vegas, Nevada

NYU Langone Health • Las Vegas, NV

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 submitting appeals as necessary. This role follows established workflows and collaborates with staff and other departments to ensure accurate and timely processing. The position also drives consistency in patient and colleague encounters by embodying the core principles of the Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off). This includes greeting patients warmly and professionally, clearly communicating each step of the care/interaction, and working collaboratively to ensure a positive experience and timely resolution for all patient interactions and inquiries. The role also involves proactively anticipating patient needs, participating in service recovery using the LEARN model, and sharing ideas to improve patient experience and access.

Requirements

• High School Diploma or GED
• 1 year experience in a similar role
• Knowledge of CPT and ICD10
• Knowledge of medical billing software
• Knowledge of English usage, grammar and spelling
• Knowledge of basic math
• Light, accurate keyboarding skills
• 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 required
• Time management skills required
• Ability to develop and effective working relationships with peers, other staff and leadership
• Ability to effectively communicate with all levels of the organization.

Nice To Haves

• Type 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding.

Responsibilities

• Perform billing tasks assigned by management which may include 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/or coding issues and address them with management.
• Follow workflows provided in training classes and request additional training as needed.
• Utilize Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims, for authorizing procedures, or for 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. 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.
• Drives 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).
• Greets patients warmly and professionally, stating name and role, and clearly 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 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.

Benefits

• financial security benefits
• a generous time-off program
• employee resources groups for peer support
• holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.

What This Job Offers

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