Billing Representative II (A/R) - Central Billing Office *Onsite - Las Vegas, NV*

We have an exciting opportunity to join our team as a Billing Representative II (A/R) - Central Billing Office Onsite - Las Vegas, NV.

The successful candidate submits claims, follows up on unpaid balances with insurance or patients, corrects errors, enters claim information, submits authorization/precertification requests with insurance companies, follows up on denied claims and/or authorizations and submits appeals as necessary Assists with other related tasks including medical record requests, reviewing accounts and billing projects.

Job Responsibilities:

• Perform billing tasks assigned by management which may include data entry claim review, charge review accounts receivable, follow up or other related responsibilities.
• Participate in workgroups and meetings. Attend all required training classes.
• Escalate issues to management as needed. Maintain confidentiality. Read and apply policies and procedures to make appropriate decisions.
• Coordinate functions and work cooperatively with others. Explain processes and procedures and performs other related duties as assigned.
• Communicate with providers, patients, coders or other responsible persons to ensure that claims are correctly processed by third party payers.
• Adhere to general practices and FGP guidelines on compliance issues and patient confidentiality.
• Utilize CBO Pathways as a guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned work queues using payer websites billing system information and training within expected timeframe.
• Follow workflows provided in training classes and request additional training as needed.
• Identify payer provider credentialing and/or coding issues and address them with management.
• Perform daily tasks in assigned work queues and according to manager assignments.

Minimum Qualifications:

• To qualify you must have a High School Diploma or GED
• 2 years of related experience
• Experience in medical billing, accounts receivable, insurance, or related duties
• Knowledge of CPT and ICD10; medical billing software, healthcare billing including Medicare, Medicaid or other third party payers
• English usage, grammar and spelling; basic math
• Qualified candidates must be able to effectively communicate with all levels of the organization

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Nevada 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.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Nevada is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

Know Your Rights: Workplace discrimination is illegal.