Revenue Cycle Spec, Remittance & Credits

Title: Revenue Cycle Spec, Remittance & Credits (Remote)

Location: Midtown

Org Unit: Payment Posting

Work Days:

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $29.15 - $35.00

*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

Position Summary

Responsible for carrying out all senior functions related to Remittance and Credit Resolution.

Job Responsibilities

• Responsible for processing and handling all bulk electronic remittance payment files for all Weill Cornell Medicine and Imaging practices.
• Resolve all associated edits and credit work queues associated with all remittance payment files.
• Responsible for reconciliatory duties related to the remittance payment files.
• Maintain remittance audit tracking logs for all EFT payment sources for all departments.
• Review accounts receivable for credit and debit posting discrepancies and determine appropriate action required to resolve variance.
• Research posting inquiries and assist in gathering required documentation for resolution from EPIC, Bank applications and Insurance portals.
• Review registration, demographic, and insurance eligibility issues to determine allocation of payment and credits as well as balance billing.
• Responsible for notating and reporting inconsistent and invalid financial transactions. Monitors payment patterns and alerts manager to deviations.
• Process Credit Card authorizations received from the PCI Bank Lock Boxes for all departments.
• Process all incoming charge backs, returned, unpaid items, bank adjustments, domestic and international wire transfers, interinstitutional, Research, Global contracts, and specialized agreements across all departments.
• Assists in training current and new employees on the use of systems and departmental policies and procedures.
• Performs other job-related duties as required.

Education

• High School Diploma

Experience

• College Degree Preferred
• Approximately 3 years of medical billing experience.
• Demonstrated knowledge of medical terminology.
• Working knowledge of third-party payor reimbursement – Medicare, Medicaid, Managed Care and Commercial Insurance.
• Secured remote workspace that adheres to HIPPA regulations and handling PHI.
• Previous related experience in an office setting.
• Limited in office training, developmental and productivity sessions may be required.
• Ability to work independently and maintain confidential and professional relationships with a variety of personnel.

Knowledge, Skills and Abilities

• Excellent oral and written communication and inter-personal skills.
• Demonstrated critical thinking and analytical skills.
• Demonstrated proficiency with MS Office Suite.
• Demonstrated ability to function independently, exercise independent judgment and employ organizational skills.
• Demonstrated ability to multi-task and prioritize in a rapidly changing environment.
• Medical Billing and Coding knowledge
• Previous experience using Epic or EMR

Licenses and Certifications

Working Conditions/Physical Demands

• Maintains established institutional and department policies and procedures, objectives, and quality standards.
• Adheres to rules and regulations regarding patient confidentiality, HIPPA and handling PHI (Privileged Health Information) including a secured remote space.
• Mandatory overtime required to meet departmental requirements at month end.
• Limited in office training, developmental and productivity sessions may be required.

Weill Cornell Medicine is a comprehensive academic medical center that is committed to excellence in patient care, scientific discovery, and the education of future physicians and scientists 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, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, 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 protected status, including race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.