Business Office Associate

1 month ago

New York, United States NYU Langone Health Full time

Responsible for insurance review and clearance for patients of the Fink Children's Ambulatory Care Center as well as working to secure authorizations for patients coming to Fink as well as patients requiring medication prior authorizations for all specialties. Additionally, the Business Associate is responsible for collecting time of service and past due dollars for professional and hospital services, as well as working with the appropriate hospital departments to provide financial counseling to patients, and resolve customers complaints in regards to billing inquiries. Work under the general guidance of the Sr. Administrative Director of the Fink Center.
- Demonstrates knowledge of the organization’s Service Standards and incorporates them into the performance of duties.
- Act as first contact for billing issues.
- Acts as liaison between patients and outside billing agencies to resolve all patient billing complaints in a timely fashion. Coordinate with Administrative Director to determine appropriateness of adjustments for hospital balances.
- Acts as liaison between Fink Office and the NYU Customer Service Unit and Patient Finance Department to resolve all patient billing issues in a timely fashion. Coordinate with Administrative Director to determine appropriateness of adjustments for hospital balances.
- Coordinates with appropriate Hospital and FGP personnel to draft financial agreements for services to patients who are self pay or with Out of Network benefits.
- Collects all co-payments, co-insurances, out of network and self pay time of service (TOS) payments and past due balances for professional and hospital billing.
- Prepare daily deposits and payment/ charge batches for all monies collected at Fink.
- Review the daily appointment schedule to ensure all authorizations and referrals are obtained and entered in the appropriate area in Epic. In coordination with the Business Office Associate staff, contact patients within 48 hours of appointment to rectify any missing insurance information and to notify of any out of pocket payments due at time of service or missing referrals.
- Updates, reviews and completes assigned work queues. Notifies Administrative Director of any trends or patterns in missing information and works with Administrative Director to provide feedback and direction to the Medical Secretaries to ensure accuracy of information entered into Epic at the time of scheduling.
- Secure medication prior authorization for patients. Provides support to clinical and administrative staff in securing authorizations for ancillary services and medications as requested.
- In coordination with the Fink Sr Administrative Director conducts daily audit to ensure all charges are entered and encounters are closed. In coordination with FGP Administrator and Fink Administrative Director, work to clear the missing charges report. Participates with billing and compliance staff on updates to billing processes. Recommends ideas and solutions to improve operational processes to achieve optimal revenue realization. Assists with training on billing policies and procedures.
- Collaborates with practice personnel and administration to implement changes to practice billing operations when necessary and communicates such changes to appropriate staff and faculty.
- Coordinates with Medical Records as needed to provide missing information for timely review and appeal of Hospital denials.
- Participates and performs all other duties as required.

**Minimum Qualifications**:
Associate degree with 3 years of related experience or an equivalent combination of education and experience.

Proficient in the use of productivity-based computer software (MS Office).

Familiarization with medical terminology.

Familiarization with hospital/medical billing.

**Preferred Qualifications**:
Bachelors Degree

CPT (Current Procedural Terminology) Certification for medical coding.

Pay: $60,000.00 - $70,000.00 per year

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift

Ability to Relocate:

- New York, NY 10016: Relocate before starting work (required)

Work Location: Hybrid remote in New York, NY 10016

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