, New York

NYU Langone Health

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 LinkedInGlassdoorIndeed, FacebookTwitterYouTube and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a FGP Revenue Cycle Manager.

In this role, the successful candidate manages a portfolio of practices as assigned by the Senior Account Managers. Responsible for day-to-day communications with physician practices and billing operations team, and revenue cycle reporting for the designated medical specialties. Requires analyzing financial reports, fee schedules, payor trends and A/R measurement statistics. Accountable for assigned practices/services.

Job Responsibilities:

  • Train staff and clearly explain proper work procedures and methods and office policy.
  • Directly supervise employees, establish priorities, assign work, and follow up to ensure assignments are complete. Select, orient, and evaluate staff. Provide initial and ongoing guidance. Resolve employee issues and address procedure and performance related issues.
  • Meet or exceed internal standards for accuracy and timeliness in documentation preparation and submission.
  • Compile statistical data as requested and reports data monthly to appropriate parties. Prepare reports and analyses to assist in identification of cash flow variances, physician referral patterns, physician volume, and any other issues identified by Management.
  • Review outstanding accounts receivable to maintain minimal level of open accounts.
  • Determine and establish the explanation to complex claims, issues, and questions not covered by specific instructions or common practice.
  • Demonstrate a significant level of expertise in subject matter to assist and mentor entry-level billing staff, support the operations lead/supervisor in managing day-to-day team activities against scope and timeline, and ensure timely reporting of activities. Provide feedback and contribute to employee performance reviews.
  • May assist with leading and coordinating all aspects of charge submission and accounts receivable in defined FGP(s) for other Billing Coordinators.
  • Meet or exceed the accountabilities of the Billing Coordinator I and II, and serve as a role model and resource to entry-level team members.
  • Identify denial trends and train staff accordingly to avoid in the future, emphasizing improvement of accurate charge capture. Develop supporting training documentation as needed with FGP management.
  • Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
  • Compare coding to notes/documentation and communicate with providers to clarify errors.
  • Serve as a liaison to the outside billing for questions, data request, and other inquiries. Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
  • Ensure timely and accurate collection, preparation, and verification of billing information submitted to the outsourced billing service. Review billing collection and denial reports from the vendor and identify trends and recommend changes on how to improve issues.
  • Work with practice operations to implement changes to improve revenue where necessary.
  • Take initiative to teach and share new information and provide constructive feedback; Communicate delays and workqueue issues to management daily.
  • May act as a financial counselor to patients who require assistance understanding their benefits and financial options. Act as the patient advocate with the patient and/or family members and liaison with the insurance companies to assist in obtaining insurance information.
  • Review practice Action Plans and/or reports on a timely basis. Analyze issues to identify trends in denial rates to focus improvement initiatives on, and charges that requires action.
  • Develops and updates action plans on a monthly basis; Ensures that the team produces action plans timely;
  • Adhere to general practice and FGP guidelines on compliance issues and patient confidentiality.
  • Monitors key performance indicators, operational metrics, quality indicators, and/or reimbursement fee schedules for any trends;
  • Serve as resource to physicians, staff, and management regarding local and national coding and reimbursement policies. Educate physicians, staff, and management on new policies and changes to existing policies.
  • Attends and presents at physician and management meetings;
  • Performs regular and ad-hoc operational analyses related to processes, charges, claims, and/or accounts receivable;
  • Liaises with billing operations managers and practice management to resolve billing issues;
  • Meets with practices on a regular basis to discuss revenue cycle opportunities; Communicates with providers, patients, coders, or other responsible persons to maximize revenue;
  • Manages relationships with practices and functions as the primary point-of-contact for day-to-day issues, including ongoing communications, and coordination of projects, billing and other activities;

Minimum Qualifications:
To qualify you must have a Bachelors Degree with a minimum of 5-7 years of relevant work experience or equivalent combination or training and relevant work experience. Ability to handle multiple tasks at once; good communication, interpersonal, and computer skills. Arrive on time for work and meetings. Ability to develop and maintain effective working relationships with staff and patients. High level of accuracy for reviewing charge batch submissions, preparing and presenting analyses, and in staff education. Maintain current insurance regulatory policies and requirements relevant to the specialty. Knowledge of medical terminology required. Familiar with standard office equipment.

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.

, New York

NYU Langone Health, a world-class, patient-centered, integrated academic medical center, is one of the nation’s premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of five hospitals—Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, the Medical Center’s dedicated inpatient orthopaedic hospital; NYU Lutheran Medical Center, a full-service, 450-bed teaching hospital located in Brooklyn, and Hassenfeld Children’s Hospital, a comprehensive pediatric hospital supporting a full array of children’s health services across the Medical Center. Also, part of NYU Langone is NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history, and the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute–designated cancer center. The Medical Center’s trifold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education, and research.

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