NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge. For more information, go to med.nyu.edu, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter and Instagram.Position Summary:We have an exciting opportunity to join our team as a Billing Coordinator (FGP) - Manhattan, Neurosurgery. In this role, the successful candidate Reporting to the Revenue Cycle Manager, the Billing Coordinator I will coordinate all aspects of coding review, claim submission, charge reconciliation and follow-up on claims denied for coding-related reasons for various specialties and providers. He/she will provide coding, financial and/or operational reports, and provide feedback to providers to improve documentation to maximize revenue and reduce denials. Review and train practices on local and national coding and reimbursement policies including payer coding guidelines. Work with patients and guarantors to clarify financial responsibilities as needed.Job Responsibilities:Responsibilities Monitor reports and assigned workqueues, ensuring coding, charge submission and accounts receivable follow-up is occurring on a timely basis. Perform charge reconciliation to validate all revenue is captured. Review unbilled charge reports and follow up with physicians and/or practice management for unbilled services. Identify coding or documentation issues and suggest improvements to physicians. Escalate issues as needed to practice and FGP Leadership. 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 financial clearance processes. Review and respond to practice, physician, and patient inquiries following CBO guidelines, payer rules, compliance regulations and related rules. Serve as resource to physicians, staff, and management regarding local and national coding and reimbursement policies. Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures. Train physicians, other staff, and management, as needed. Adhere to general practice and FGP guidelines on compliance issues and patient confidentiality. Meets CBO quality and productivity targets. 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 workqueue issues to management daily. Staff who possess coding certification at the time of hire or who obtain coding certification while employed by NYU must maintain active status of certification.Patient Experience and Access Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience, during every encounter. Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARE
Job Title
Billing Coordinator (FGP) Manhattan, Neurosurgery