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We have an exciting opportunity to join our team as a FGP Billing Coord (Level III).
In this role, the successful candidate Manages and Coordinates all aspects of charge submission and accounts receivable in defined FGP(s). Oversee practice operations as they relate to the aforementioned and implement change where necessary. Prepares financial and/or operational analyses and reports, and audits current procedures to monitor and improve efficiency of operations. Reviews and advises physicians and staff with regard to local and national coding and reimbursement policies.
* Review the schedule for providers to identify out of network/self pay patients and patients requiring referrals. * Verification and review of out of network (OON) benefits for non-par patients.Contact patients prior to appointments to discuss and review the Out of network process (OON) and make any necessary payment arrangements. * Negotiating payment rates, drafting financial agreements and collecting surgical deposits as needed.Collect all out of network and self pay time of service (TOS) payments. * Serve as the primary financial counselor for the practice.Update, review and complete assigned work queues.Enter, reconcile and batch manual charges as needed.Obtain in for out of network authorizations as needed. * Prepare daily deposits & payment/charge batches for self pay, out of network and surgical payments collected. * Review, copy & forward EOBs as received and if applicable.Obtain and keep track of missing referrals as needed.Reconciling payment logs and trocs. * Provide feedback and answer the physicians and staffs questions about coding and charge entry as needed.Provide requested information required for billing.Resolve any patient billing issues as they arise. * Identify any systematic problems as encountered and report to the appropriate managers/IT personnel.Delegate, or obtain any necessary precertification(s). * Provide billing coordinator coverage for other practices as needed (must be cross-trained). Recommends suggestions, ideas and solutions to improve operational processes. * Collaborates with practice personnel and administration to implement change to practice operations where necessary. * Interacts with IT, vendors, and independent contractors.Assists with training staff on billing policies and procedures. * Weekly Responsibilities: Assist with preparation of appeals as needed.Reconcile all office visit charges against schedule. * Monthly Responsibilities: Reconcile total surgical/procedural charges against schedule.Assist with completion of pre-collection reports as needed.
To qualify you must have a Bachelor's degree with 5+ years of relevant work experience.
Current medical coding certification (CPC) required. Knowledge of medical terminology required
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU School of Medicine 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.
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* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.