Billing Representative I

NYU Lutheran Augustana Center • Las Vegas, NV

392d

About The Position

The Billing Representative II position at NYU Lutheran Augustana Center involves managing the billing process for medical claims, ensuring accurate submission and follow-up on unpaid balances. The role requires effective communication with various stakeholders, adherence to compliance guidelines, and participation in training and meetings to enhance billing practices.

Requirements

• High School Diploma or GED.
• 2 years of experience in medical billing, accounts receivable, insurance, or related duties.
• Knowledge of CPT and ICD-10 coding.
• Proficiency in medical billing software.
• Strong English usage, grammar, and spelling skills.
• Basic math skills.

Responsibilities

• Submit claims and follow up on unpaid balances from insurance or patients.
• Correct errors and enter claim information accurately.
• Submit authorization/precertification requests with insurance companies.
• Follow up on denied claims and/or authorizations and submit appeals as necessary.
• Perform billing tasks assigned by management, including data entry and claim review.
• Provide input on system edits, processes, policies, and billing procedures to maximize revenues.
• Utilize CBO Pathways to resolve unpaid or incorrectly paid claims.
• Review reports to identify revenue opportunities and unpaid claims.
• Communicate with providers, patients, coders, or other responsible persons to ensure correct processing of claims.
• Participate in workgroups and meetings, and attend required training classes.
• Assist professional billing staff with difficult and escalated issues.
• Make appropriate corrections to the system to satisfy payer requirements and resubmit claims.

What This Job Offers

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