Billing Representative I

NYU Lutheran Augustana Center-posted about 1 year ago

Full-time • Entry Level

Las Vegas, NV

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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.

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.

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.

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