Supervisor-Out Patient Billing (1129398_Rr00091371)

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. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive.

We embrace diversity, inclusion, and individual skills, ideas, and knowledge. 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 Supervisor-Out Patient Billing.

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) billing services, (2) account review, (3) analytics, (4) operations, (5) staff performance, (6) manage internal/external correspondence, (7) customer service, (8) training, (9) special projects as assigned by management, (10) compliance, and (11) specialized functions.

Job Responsibilities:

• Analytics Perform and analyze government billing and follow-up operations for decision making purposes. Responsibilities are primarily related to Medicare and Medicaid billing and follow-up processes and reporting on related financial metrics Responds to, addresses and analyzes government billing edits, audit requests, and other claim-related requests for information this could include Medicare Additional Development Requests (ADRs), claims Returned to Provider (RTPs), Medicaid pharmaceutical invoice requests, and CMS audits Develops and enhances tracking mechanisms to keep track of accounts as they flow through audit protocols Collects/analyzes payer data to determine denial, underpayment, overpayment, and appeal trends for further review Performs detailed analysis regarding revenue cycle and accounts receivable issues and presents analysis to appropriate managers and administration on a weekly and monthly basis through various report mechanisms utilizing various systems (e.g., Epic, Acuity, Omnipro); Reports any discrepancies or inconsistencies in data and/or reports to management timely; Ensures cash optimization and accounts receivable reduction activity is functioning to fullest capability; Works collaboratively with a variety of departments within NYULMC; Assists with providing constructive feedback and developing training tools; Trains staff and peers as needed; Works independently, takes initiative, and thinks critically; Performs other duties as assigned; 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

• Specialized Functions In-depth knowledge of insurance contracts and/or Medicare/Medicaid Billing regulations 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

• 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

• Special projects as assigned by Management Complete projects in a timely and organized manner as assigned by management and delegating projects if necessary

• 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

• Customer Service Demonstrates a high level of commitment to customer service in responding to the needs of internal and external parties or departments; Provides and solicits correct information as needed or requested;

• 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;

• 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

• Operations 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

• Billing Services 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;

• Account Review 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;

Minimum Qualifications:

To qualify you must have a Bachelors Degree and/or 3-5 years of medical billing and collections experience. Knowledge of PC applications and Microsoft Office Suite.

Preferred Qualifications:

Bachelors degree. Supervisory experience, at least one year. 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.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $62,400.00 - $82,000.00 Annually.

Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here