Financial Services Associate


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Position Summary:
We have an exciting opportunity to join our team as a Financial Services Associate (Outpatient).

In this role, the successful candidate is responsible for the timely and accurate billing and collection of all Hospital claims. Follow-up include cash payment reconciliation and/or appeals as necessary. Reviews Managed Care contracts to verify accuracy of payments. Troubleshoots complex claim issues for appropriate resolution. Attends to all telephone inquiries, audits, and mail correspondence as they apply to the accounts receivable. Adheres to all PFS Department policies, procedures, HIPAA, Medicare and Medicaid billing regulations.

Job Responsibilities:

Reviews daily billing reports to ensure all electronic claims are received by carrier. Performs all primary and secondary billing timely and accurately, including hard copy and electronic. Follows up with phone calls and faxes and letters to insurance companies to support validity of claims. Works correspondence in Aergo Tool.
Performs other duties as assigned
Responsible for all pertinent notes notations and information identified in Quality Review on accounts entered into the Patient Accounting system meet Quality Review Standards. Ensures denials appealed are performed and formatted correctly and carved out.
Maintains current files with all pertinent information. Prioritizes and files all patients correspondences promptly per established department policy.
Requests medical records as needed and notifies the supervisor if not received in a timely manner.
Verifies that hospital claims are correct. Uses the appropriate Rep or Comment Codes to send to Payment Review and Denial Unit. Reviews credit balances and issues appropriate refund as per departmental policy.
Communicates with Utilization Review Department. Reviews all utilization letters, Explanations of Benefits and logs are logged promptly when received. Follows up on appeal status with the Utilization Review Department. Ensures the findings on accounts are noted and additional referrals put in place. Responds to all emails timely.
Responds, dates and enters specific comments accurately on the all accounts correspondence upon receipt.

Minimum Qualifications:
To qualify you must have a High School or GED. 1 – 2 years Experience in a Healthcare billing. Excellent communication (both written and oral), detail orientation, customer service, organization, and multitasking skills. Basic computer skills, including Microsoft Office applications (Outlook, Word and Excel). Familiarity with ICD coding.

Preferred Qualifications:
1 – 2 years Hospital billing experience. Knowledge of medical terminology. Systems experience with Soarian, SSI and ePremis.

Qualified candidates must be able to effectively communicate with all levels of the organization.

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.

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. We require applications to be completed online.

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