Revenue Cycle Coord, AR Credit Resolution

Weill Cornell Medical CollegeNew York, NY
$25 - $27Onsite

About The Position

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

Requirements

  • High School Diploma
  • Approximately 1+ years of medical billing experience.
  • Demonstrated knowledge of medical terminology.
  • Demonstrated knowledge of third party reimbursement.
  • Previous related experience in an office setting.
  • 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.

Nice To Haves

  • College degree is preferred.

Responsibilities

  • Utilizes the Credit Work Queues to analyze and validate self-pay and simple insurance related credit transactions across all departments for proper resolution.
  • Responds to payer request for additional information and validation of coverages. Responds to other credit balance related inquiries.
  • Processes correspondence items related to specific payer and type of refund request documents across all patient accounts.
  • Reviews accounts receivable for credit, adjustment posting discrepancies and determines appropriate action required to resolve variance.
  • Researches self-pay and other patient responsibility credit balance inquiries and assists in gathering required documentation for resolution from EPIC, Banking and Insurance portals.
  • Reviews registration, updates demographic and insurance eligibility to determine allocation of payments, credits and mailing of refund checks.
  • Responsible for notating and reporting inconsistent and invalid financial transactions. Monitors credit patterns and alerts manager to deviations.
  • Processes all incoming returned patient refund checks across all departments, contacts patients for address verification and assesses proper resolution.
  • Assists in training current and new employees on the use of systems and departmental policies and procedures.
  • 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.
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