Position Summary: We have an exciting opportunity to join our team as a Business Office Associate.
In this role, the successful candidate will be responsible for reviewing the DAR (Daily Appointment Record), schedule and complete financial clearance including, but not limited to, identifying self-pay patients, patients with out of network insurance, and referral/authorization requirements. Verifies insurance benefits for timely reimbursement from federal and state intermediaries and contracted commercial payers. Accurately calculates and communicates the financial responsibility to the patient. Responsible for the collections of co-pays, co insurance, deductibles, self-pay payments, surgical deposits, and previous balances due. Accurately post payments to the appropriate account in Epic. Works independently in accomplishing reduction of receivables. Responsible for insurance verification including both the technical and professional components. Meet with patients to assist with billing questions and concerns.
Conducts insurance verification for both technical and professional component
Responsible for collections of co-pays, co insurance, deductibles, self-pay payments, surgical deposits, and previous balances due
Assist with verifying insurance for pre-loaded appointments into Epic.
Meet with non-par and self-pay patients to explain various financial forms and waivers and to obtain signatures
Responsible for ensuring specialist referrals are on file and accurately documented in Epic. Work closely with patients and primary care physicians to obtain referrals when one is not already on file
Work closely with financial counselors and billing coordinators to ensure patients are aware of financial obligation and collect payments as necessary.
Performs benefit verification review utilizing Clear Quote web tool which provides patient specific estimates for services rendered due at time of service including deductible, co-insurance and out of pocket maximum. Provide patient information over the phone prior to their appointment. At TOS collect payment, obtain patient signature on the Clear quote document and scan in epic.
Responsible for creating the patient estimate form and timely communication of the liability.
Responsible for the financial clearance of PET/CTs, MRIs, and CT scans. by performing Reviews the DAR (Daily Appointment Record) which lists patients that are scheduled for these tests. Performs medical necessity review to ensure diagnosis is covered under insurance carrier clinical bulletin policy. Obtains authorization for tests and documents in Epic. Communicates out of pocket expense due at time of service to the patient prior to their appointment and documents fees in epic. Schedules BA appointment so that payment is collected at TOS.
Minimum Qualifications: To qualify you must have a High School Diploma and 1 year experience in patient accounts or related field or an equivalent combination of education and experience. Strong knowledge of Front end hospital registration and /or practice operations is a must. Knowledge of insurance companies verification and benefit tools including web sites etc. Ability to compose and edit logical, detailed, comprehensive and grammatically correct correspondence. Ability to effectively communicate with a wide variety of personnel including patients, families, physicians and staff. Knowledge of medical terminology. Experience and competency with varied computer hardware and software, including registration and billing systems, word processing, spreadsheet, database, scheduling, communications. Training on appropriate systems will be provided. Ability to handle matters of highly confidential and sensitive nature. Ability to recognize and identify problems, recognize implications and propose alternative solutions. Skill in prioritizing assignments to complete work in a timely manner. Skill in working independently and in following through on assignments with minimal direction.
Preferred Qualifications: Associates degree plus 2-3 years recent experience in patient registration within a hospital setting or related field or an equivalent combination of education and experience. Prior Epic experience a plus.
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.