Billing Coordinator II; FGP; Manhattan, Child Adolescent Psychiatry

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We have an exciting opportunity to join our team as a Billing Coordinator II (FGP) - Manhattan, Child Adolescent Psychiatry.

In this role, the successful candidate Become a key member of the NYU Langone Health Faculty Group Practice Central Billing Offices (FGP CBO). Coordinate all aspects of coding review, claim submission, charge reconciliation and follow-up on claims denied for coding-related reasons for various specialties and providers. Provide coding, financial and/or operational reports, and provide feedback to providers to improve documentation to maximize revenue and reduce denials.

Review and train practices on local and national coding and reimbursement policies including payer coding guidelines. Work with patients and guarantors to clarify financial responsibilities as needed.

• Take initiative to teach and share new information and provide constructive feedback. Communicate delays and workqueue issues to management daily.
• Lead and collaborate with practice personnel and administration to implement change to practice operations where necessary, to improve accuracy of information and enhance revenue.
• Ensure timely and accurate collection, preparation, and verification of billing information submitted in billing system. Review billing collection and denial reports and recommend changes on how to improve issues.
• Serve as a liaison to coding vendor for questions, data requests, and other inquiries. Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
• Compare coding to notes/documentation and communicate with providers to clarify errors, correct coding and prepare appeals and reconsideration requests. Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
• Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
• Staff who possess coding certification at the time of hire or who obtain coding certification while employed by NYU must maintain active status of certification.

• Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience, during every encounter.
• Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off)
• Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate
• Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
• Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
• Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
• Partners with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience.
• Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.

• Collects and applies payments for self-pay, deductibles, co-payments and co-insurance into the appropriate system (s).
• Monitors patient accounts to proactively ensure there arent any surprise issues that may impact patient experience, financial performance or clinical schedules.
• Manages relationship between multiple stakeholders including the IBH administrative team, Fink Center administrative team and Child Study Center leads.
• Serves as the point person for issues related to patient…