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Weill Cornell Medical College Revenue Cycle Spec, AR Credit Resolution in New York, New York

Position Summary

Responsible for carrying out all functions related to Account Receivable review and Credit Resolution.

Job Responsibilities
  • Utilizes the Credit Work Queues to analyze and validate credit transactions across all departments for proper resolution. Works dedicated project based spreadsheets.

  • Assists with the development and implementation of strategies and procedures that will reduce credit balances and maximize credit resolution efficiency.

  • Responds to payer request for additional information and validation of coverages. Responds to other credit balance related inquiries.

  • Processes correspondence items related to denials, recoupment and refund request documents across all patient accounts. Submits letters for payer recoupment extensions.

  • Reviews accounts receivable for credit, adjustment posting discrepancies and determines appropriate action required to resolve variance.

  • Researches credit balance inquiries and assists in gathering required documentation for resolution from EPIC, Banking and Insurance portals.

  • Reviews registration, demographic and insurance eligibility issues to determine allocation of payments and credits.

  • Responsible for notating and reporting inconsistent and invalid financial transactions. Monitors credit patterns and alerts manager to deviations.

  • Processes all incoming returned refund checks across all departments and assess proper resolution. Contacts payers regarding discrepancies and appeals of requested refunds.

  • Assists in training current and new employees on the use of systems and departmental policies and procedures. Assists in the audit of the new employees and provides feedback.

  • Maintains established institutional and department policies and procedures, objectives and quality & safety standards. Respects and adheres to rules and regulations regarding patient confidentiality, HIPAA and handling PHI (Privileged Health Information).

  • Performs other job-related duties as required.

  • High School Diploma

College degree is preferred.

Approximately 3 – 5 years of medical billing experience.

Demonstrated knowledge of medical terminology.

Demonstrated knowledge of third party reimbursement.

Previous related experience in an office setting.

Knowledge, Skills and Abilities
  • Demonstrated ability to function independently and exercise independent judgment.

  • Demonstrated strong communication and interpersonal skills; demonstrated ability to interact with multiple constituencies and exercise "people skills".

  • Demonstrated proficiency with MS Office Suite and database applications.

  • Demonstrated organizational skills and ability to pay close attention to detail.

  • Demonstrated critical thinking and analytical skills.

  • Demonstrated ability to multi-task and prioritize in a fast-paced environment.

  • Demonstrated ability to remain focus despite frequent interruptions.

  • Ability to treat confidential information with utmost discretion.

  • Ability to exercise standards of professionalism, including appearance, presentation and demeanor.

  • Demonstrated ability to work effectively in a collaborative manner with all departmental faculty and staff, as well as other institutional representatives.

Licenses and Certifications
Working Conditions/Physical Demands

Standard office work to include working from home when the business needs of the organization do not require physical presence in the office.

Position requires mandatory overtime to meet departmental requirements at month end.

Weill Cornell Medicine is a comprehensive academic medical center that's committed to excellence in patient care, scientific discovery, and the education of future physicians in New York City and around the world. Our doctors and scientists-faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization-are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies. Located in the heart of the Upper East Side's scientific corridor, Weill Cornell Medicine's powerful network of collaborators extends to its parent university Cornell University; to Qatar, where an international campus offers a U.S. medical degree; and to programs in Tanzania, Haiti, Brazil, Austria and Turkey. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, and NewYork-Presbyterian/Queens. At Weill Cornell Medicine, we work together to treat each individual, not just their conditions or illnesses, as we strive to deliver the finest possible care for our patients - the center of everything we do. Weill Cornell Medicine is an Equal Employment Opportunity Employer. Weill Cornell Medicine provides equal employment opportunities to all qualified applicants without regard to race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.