- Graduate of an accredited physical therapy program
- Maintains continuing education credits as required by the State
- Minimum 3 year orthopedic experience preferably in a hospital setting
- Current licensed in the State of Texas
- Current BLS required
- Excellent communication and organizational skills
- Knowledgeable of current treatment protocols and rehabilitation equipment
Faculty Group Practice Billing Representative III Boynton Beach FL - Dallas, United States - United Surgical Partners
Description
NYU Langone Healthis a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education.
It comprises more than 200 locations throughout the New York area, includingfive inpatient locations,a children's hospital,three emergency roomsand a level 1 trauma center.
Also part of NYU Langone Health is theLaura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated cancer center, andNYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history.
For more information, go , and interact with us onFacebook,Twitter,YouTubeandInstagram.POSITION SUMMARY:
We have an exciting opportunity to join our team as a FGP Billing Rep III.
In this role, the successful candidate submits claims, follows-up on unpaid balances (insurance or patient), 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:
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 to others; 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.
Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) 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.
Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
MINIMUM QUALIFICATIONS:
To qualify you must have a High School Diploma or GED.
Experience in medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10; medical billing software; English usage, grammar and spelling; basic math; 2 years experience in a similar role.
PREFERRED QUALIFICATIONS:
Experience with precertifications/authorizations preferred.
NYU Langone Florida 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 NYU Langone Florida's EEO policies, pleaseclick here. Pleaseclick hereto view the Federal "EEO is the law" poster or more information. To view the Pay Transparency Notice, pleaseclick here.
Required Skills Required Experience
QUALIFICATIONS
Preferred Experience: 5yr
USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.
If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.
If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
#J-18808-Ljbffr