|Employer:||NYU Langone Health
|Required Experience:||5 to 7 years
|Preferred Experience:||5 to 7 years
|Location:|| New York 10016, NY, US
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute¿designated cancer center, and NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on Facebook, Twitter, YouTube and Instagram.
We have an exciting opportunity to join our team as a FGP Billing Supervisor.
In this role, the successful candidate Coordinate all aspects of charge submission, coding review, and assigned work queues. Provide financial and/or operational analyses and reports, and audit current procedures to monitor and improve efficiency of operations. Review and advise physicians and staff with regard to local and national coding and reimbursement policies. Work with patients and guarantors to clarify financial responsibilities.
• Monitor reports and work queues, ensuring charge submission and accounts receivable follow-up is occurring on a timely basis.
• Identify issues and suggest improvements and available tools to physicians and admin support staff to address issues. Escalate issues as needed to practice and FGP Leadership.
• Interact with vendors as it relates to billing and collections.
• Work with front-end staff to ensure patient insurance information and benefits are verified accurately and timely. Act as a resource to front end practice staff to identify gaps in clearance processes.
• Review and respond to practice, physician, and patient inquiries following CBO guidelines.
• Serve as resource to physicians, staff, and management regarding local and national coding and reimbursement policies. Educate physicians, staff, and management on new policies and changes to existing policies.
• Collaborate with coders to understand CPT and ICD-10 manuals, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.
• Adhere to general practice and FGP guidelines on compliance issues and patient confidentiality.
• Review unbilled charge reports and follow up with physicians and/or practice management for unbilled services.
• Meet CBO quality and productivity targets.
• Review practice Action Plans and/or reports on a timely basis. Analyze issues to identify trends in denial rates to focus improvement initiatives on, and charges that requires action.
• May act as a financial counselor to patients who require assistance understanding their benefits and financial options. Act as the patient advocate with the patient and/or family members and liaison with the insurance companies to assist in obtaining insurance information.
• Take initiative to teach and share new information and provide constructive feedback; Communicate delays and work queue issues to management daily.
• Work with practice operations to implement changes to improve revenue where necessary.
• Ensure timely and accurate collection, preparation, and verification of billing information submitted to the outsourced billing service. Review billing collection and denial reports from the vendor and identify trends and recommend changes on how to improve issues.
• Serve as a liaison to the outside billing for questions, data request, and other inquiries. Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
• Compare coding to notes/documentation and communicate with providers to clarify errors.
• Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
• Identify denial trends and train staff accordingly to avoid in the future, emphasizing improvement of accurate charge capture. Develop supporting training documentation as needed with FGP management.
• Maintain current Certified Procedural Coder (CPC) certificate.
• Meet or exceed the accountabilities of the Billing Coordinator I and II, and serve as a role model and resource to entry-level team members.
• May assist with leading and coordinating all aspects of charge submission and accounts receivable in defined FGP(s) for other Billing Coordinators.
• Demonstrate a significant level of expertise in subject matter to assist and mentor entry-level billing staff, support the operations lead/supervisor in managing day-to-day team activities against scope and timeline, and ensure timely reporting of activities. Provide feedback and contribute to employee performance reviews.
• Lead and collaborate with practice personnel and administration to implement change to practice operations where necessary.
• Serve as primary resource to physicians, staff, and management regarding local and national coding and reimbursement policies.
• Delegate, coordinate, and evaluate the charge submission and/or accounts receivable work of Billing Representatives or Billing coordinators in multiple groups. Communicate responsibilities and expected performance to staff.
• Determine and establish the explanation to complex claims, issues, and questions not covered by specific instructions or common practice.
• Review outstanding accounts receivable to maintain minimal level of open accounts.
• Compile statistical data as requested and reports data monthly to appropriate parties. Prepare reports and analyses to assist in identification of cash flow variances, physician referral patterns, physician volume, and any other issues identified by Management.
• Meet or exceed internal standards for accuracy and timeliness in charge documentation preparation and submission.
• Directly supervise billing employees, establish priorities, assign work, and follow up to ensure assignments are complete. Select, orient, and evaluate staff. Provide initial and ongoing guidance. Resolve employee issues and address procedure and performance related issues.
• Train staff and clearly explain proper work procedures and methods and office policy.
To qualify you must have a Bachelor's degree with 5+ years of relevant work experience.
Current coding certification (CPC)
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.