Revenue Cycle Specialist-A/R

Weill Cornell Medical College • New York, NY

2d • $32 - $36 • Remote

About The Position

Remote position – Join a team of dedicated revenue cycle professionals in the Central Business Office (CBO) of Weill Cornell Medicine (WCM). Apply your knowledge in AR follow up to investigate and resolve payment denials and identify trends. The CBO partners with WCM Clinical Departments to increase and expedite service revenue, reduce aged AR, and trend denials for their root causes thereby driving efficiencies, to include clinical documentation improvement and denial prevention.

Requirements

• High school diploma or GED
• Approximately 3-5 years of medical billing, specifically accounts receivable experience.
• Knowledge of third-party reimbursement.
• Knowledge of medical terminology.
• Prior experience working with an eMR system.
• Microsoft Excel and other reporting software to sort, filter, summarize and identify
• Demonstrated ability to function independently and exercise independent judgment.
• Demonstrated strong communication and interpersonal skills; demonstrated ability to interact with multiple constituencies.
• Demonstrated critical thinking and analytical skills.
• Demonstrated organizational skills and ability to pay close attention to detail.
• Demonstrated ability to multi-task and prioritize in a fast-paced environment.
• Ability to treat confidential information with utmost discretion.
• Demonstrated ability to exercise standards of professionalism.
• Demonstrated ability to work effectively in a collaborative manner with all departmental faculty and staff, as well as other institutional representatives.
• Demonstrated proficiency with MS Office Suite and database applications.

Responsibilities

• Performs extensive follow-up to investigate and resolve payment denial trends.
• Assists with the development and implementation of strategies and procedures that will reduce denials, maximize reimbursements and promote faster payment.
• Utilizes the practice management system to sort, filter, summarize and identify various account receivable trends to solicit payments from insurance companies and patients.
• Prepares letters of appeal to insurance carriers for claims that were not paid or paid at the incorrect rate.
• Resolves claim edits within the practice management billing system to ensure successful claim submission.
• Assists in training current and new employees on the use of systems and departmental policies and procedures.
• Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors.
• Reviews and submits refund and write-off requests. Approves and performs write-offs as requested and as necessary.
• Performs other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED