We have an exciting opportunity to join our team as a Supervisor - Out Patient Billing.
Responsible for the direct supervision of applicable PFS staff and for ensuring quality outcomes. Duties and responsibilities of the Supervisor include, but are not limited to: (1) personnel management, (2) total account resolution from cashiering, registration, charge capture and billing to account follow-up, (3) ensuring optimal customer relations, (4) maximizing cash collection, (5) ensuring quality cash services.
Review assigned accounts in Epic and third party remittances to determine accounts requiring action. Approve Epic adjustments and refunds. Daily QA of Epic work queues, identification of Epic contract load issues with appropriate escalation. Troubleshoot problematic accounts.
Document all actions taken on accounts in the billing system. Analyze open balances and/or insure accurate payment posting, complete appropriate follow-up action as necessary.
Be cognizant of time limits currently in effect for all billing activities and monitor for compliance. Submit clear and accurate claims to third party carriers on a timely basis. Confirm receipt of third party claims and re-bills claims as necessary.
Utilize electronic follow-up system to perform billing activities. Perform 'data mining' and in-depth accounts receivable analysis.
Troubleshoot and address various Governmental and/or Non-Governmental Audits.
Identify correct parties for coding review.
Manage internal/external correspondence - Respond to communications in a timely and compliant manner; provide appropriate documents requested by payers or other parties. Provides information people need to know to do their jobs and make accurate decisions. Writes clearly and succinctly and ensures messages come across with the desired effect.
Adhere to compliance and departmental policies and procedures including compliance with 100% of HIPAA requirements, required trainings, and other Hospital mandated activities. On a quarterly basis track assigned goals in e-Performance.
Execute special projects as assigned by Management - complete projects in a timely and organized manner, delegate projects if necessary.
Perform root cause analysis on identified issues. Identify proper criteria for running, reviewing and assigning reports as necessary. Complete appropriate follow-up action as necessary.
Supervise the daily operations of the team including all staff, AR follow-up and agencies. Develop and maintain productivity standards for areas of direct responsibility.
Develop and maintain staff training plans and documents. Provide feedback to Management in regards to training needs and opportunities. Provide training tools to other departments as necessary
Provide coaching and feedback to staff in areas of responsibility, complete probationary and annual performance appraisals. Monitor staff and agency performance through monthly audits and random reviews. Conduct individual and agency monthly meetings with staff to review results and provide feedback, including steps and solutions to address any issues. Monitor staff attendance and punctuality on a regular basis and maintain payroll system for department.
Associate’s Degree and/or 3-5 years of medical billing and collections experience.
Proficient in utilizing payer systems.
Knowledge of PC applications and Microsoft Office.
In-depth knowledge of insurance contracts and/or Medicare/Medicaid Billing regulations.
3+ years of demonstrated responsible experience in medical billing and collections.
Supervisory experience preferred.
Industry certification (AHIMA, HFMA, AAPC, etc.).
EHR experience (Epic preferred). NYU Langone Health 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.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health 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.
NYU Langone Health, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.nyulangone.org.