Financial Services Associate (Customer Service/Workers Comp/Self Pay)

NYU Langone Health is 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, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU 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 to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a Financial Services Associate (Customer Service/Workers Comp/Self Pay).

In this role, the successful candidate is 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.

Job Responsibilities:

• Submits clear and accurate claims to third party carriers on a timely basis.
• Utilizes electronic follow-up system to perform billing activities.
• Confirms receipt of third party claims and re-bills claims as necessary.
• Is cognizant of time limits currently in effect for all billing activities and monitors for compliance.
• Troubleshoot problematic accounts.
• Reviews assigned accounts in Epic and third party remittances to determine accounts requiring action.
• Verifies accurate charge posting and claims submission.
• Analyzes any open balances and/or insures accurate payment posting.
• Completes appropriate follow-up action as necessary.
• Document all actions taken on accounts in the billing system.
• Performs root cause analysis with a solutions focus.
• Supervise the daily operations of the team including all staff, AR follow-up and agencies.
• Develops and maintains productivity standards for areas of direct responsibility and monitors adherence to those standards.
• Manage internal/external correspondence.
• Respond to internal communications in a timely and compliant manner; provide appropriate documents requested by payers or other parties.
• Monitors staff attendance and punctuality on a regular basis and maintains payroll system for department.
• Hold monthly staff and agency meetings.
• Staff Performance - Provides coaching and feedback to staff in areas of responsibility and completes probationary and annual performance appraisals for staff. Monitor staff and agency performance through monthly audits and random reviews. Conduct individual monthly meetings with staff to review results and provide feedback, including steps and solutions to address any issues.
• "Perform ""data mining"" and in-depth accounts receivable analysis "
• 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.
• 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.
• Training - 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.
• Special projects as assigned by Management - Complete projects in a timely and organized manner as assigned by management and delegating projects if necessary.
• Compliance - 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.
• In-depth knowledge of insurance contracts and/or Medicare/Medicaid Billing regulations.
• Identification of Epic contract load issues with appropriate escalation.
• Daily QA 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
• Proficient in utilizing payer systems

Minimum Qualifications:
To qualify you must have a Associate's Degree preferred but not required plus 2-3 years experience in patient accounts or in a related field or an equivalent combination of education and experience. Knowledge of third party operations and familiarity with automated patient accounting systems required. Excellent communication and interpersonal skills required

Preferred Qualifications:
Preferred Qualifications:Bachelors degree. Over three years of demonstrated responsible experience in medical billing and collections. Supervisory experience preferred. Industry certification (AHIMA, HFMA, AAPC, etc.). EHR experience (Epic preferred).

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.
If you wish to view NYU Langone Health'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.