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SalaryTitle: Revenue Cycle Specialist-Revenue Integrity (Remote)
Title: Revenue Cycle Specialist-Revenue Integrity (Remote)
Location: Midtown
Org Unit: AR - Coding Surgical
Work Days:
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
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.
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 race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.
Nearest Major Market: Manhattan
Nearest Secondary Market: New York City
