NYU Langone Health
In this role, the successful candidate Supervisor is responsible for, verification of insurance, supervising the billing process and staff as well as pre-authorization, resubmission of denials
Job Responsibilities
- Proficient in utilizing payer systems
- Performs “data mining” and in-depth accounts receivable analysis Conducts individual monthly meetings with staff to review results and provide feedback including steps and solutions to address any issues Monitors staff and agency performance through monthly audits and random reviews Provides coaching and feedback to staff in areas of responsibility and completes probationary and annual performance appraisals for staff Holds monthly staff and agency meetings Monitors staff attendance and punctuality on a regular basis and maintains payroll system for department Responds to internal communications in a timely and compliant manner and provides appropriate documents requested by payers and other parties Manages internal/external correspondence Develops and maintains productivity standards for areas of direct responsibility and monitors adherence to those standards Supervises the daily operations of the team including all staff, AR follow-up and agencies Performs root cause analysis with a solution focus Documents all actions taken on accounts in the billing system Completes appropriate follow-up action as necessary Analyzes any open balances and/or insures payment posting Verifies accurate charge posting and claims submissions Reviews assigned accounts in Epic and third party remittances to determine accounts requiring action Troubleshoots problematic accounts Monitors and records all encounters that are forwarded to the billing department Is cognizant of time limits currently in effect for all billing activities and monitors for compliance Confirms receipt of third party claims and re-bills claims as necessary Utilizes electronic follow-up systems to perform billing activities Submits clear and accurate claims to third party carriers on a timely basis Oversee the registration, charge entry and billing for the Dental School Health Locations and Dental Sites
- Analyzes any open balances and/or insures accurate payment posting
- Completes appropriate follow-up action as necessary
- Identification of proper criteria for running, reviewing and assigning reports as necessary
- Performing root cause analysis on identified issues
- Provides information people need to know to do their jobs and make accurate decisions
- Writes clearly and succinctly and ensures messages come across with desired effect
- Demonstrates a high level of commitment to customer service in responding to the needs of internal and external departments
- Develops and maintains staff training plans and documents
- Provides feedback to management in regards to training needs and opportunities
- Provides training tools to other departments as necessary
- Completes projects assigned by management in a timely, organized and correct manner
- Adheres to compliance and departmental policies and procedures including compliance with 100% of HIPPA requirements, required trainings, and other hospital mandated activities
- In-depth knowledge of insurance contracts and/or Medicare/Medicaid billing regulations
- Identification of EPIC contract load issues with appropriate escalation
- Daily AQ of EPIC work queues
- Credit analysis
- Identification of correct parties for coding review
- Ability to troubleshoot and address various governmental and/or non- governmental audits
- Approving EPIC adjustments and refunds
Minimum Qualifications
- To qualify you must have a Bachelor’s Degree or equivalent combination of education and experience
- 3-5 of medical billing and collections experience
- Knowledge of PC applications and Microsoft Office Suite
- Experience in dental billing and knowledge of ADA billing guidelines preferred
Preferred Qualifications
- Supervisory experience of at least one year
- Industry certification (AHIMA, HFMA, AAPC, etc)
- EHR experience (EPIC preferred)
Qualified candidates must be able to effectively communicate with all levels of the organization.
Family Health Centers at NYU Langone’s network 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 Hospital-Brooklyn 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 Family Health Centers at NYU Langone’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.
Required Skills
Required Experience
To apply for this job please visit nyulangone-openhire.silkroad.com.