Job Details

We have an exciting opportunity to join our team as a Billing Representative I (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:

1. Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow up, or other related responsibilities.
2. 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 perform other related duties as assigned.
3. Communicate with providers, patients, coders or other responsible persons to ensure that claims are correctly processed by third party payers.
4. Adhere to general practices and FGP guidelines on compliance issues and patient confidentiality.
5. Utilize CBO Pathways as a guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueues using payer websites, billing system information, and training within expected timeframe.
6. Follow workflows provided in training classes and request additional training as needed.
7. Identify payer provider credentialing and/or coding issues and address them with management.
8. Perform daily tasks in assigned work queues and according to manager assignments.

Minimum Qualifications:

1. To qualify you must have a High School Diploma or GED.
2. Experience in medical billing, accounts receivable, insurance, or related duties.
3. Knowledge of CPT and ICD10; medical billing software, healthcare billing including Medicare, Medicaid or other third party payers.
4. English usage, grammar and spelling; basic math.

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

NYU Langone Nevada 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.