Revenue Cycle Specialist-A/R

Title: Revenue Cycle Specialist-A/R Location: Upper East Side Org Unit: Revenue Cycle and Compliance Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $32.03 - $35.88 *As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary 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. Job 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. Education High school diploma or GED Experience 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 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. 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. Licenses and Certifications Working Conditions/Physical Demands Remote based work with rare onsite requirement. Dedicated home workspace conducive to a healthy work environment. Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.” No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law. Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law. Nearest Major Market: Manhattan Nearest Secondary Market: New York City