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Revenue Cycle Spec, Cust Srvce & Collect

Weill Cornell Medical College

New York, NY
Weill Cornell Medical College
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Job Details

Position Summary

Responsible for carrying out all senior functions related to billing and collections\.

Job Responsibilities

+ Responsible for reviewing aged Self Pay patient accounts for resolution and prompt payment for aged accounts receivable\.

+ Reviews accounts receivable for discrepancies, account variances and credit validation across all departments\.

+ Assists customers by appealing denied claims on unpaid or incorrectly paid claims\.

+ Reviews insurance claim edits, resolves registration demographics, handle insurance eligibility issues, perform insurance follow up on denied or rejected claims\.

+ Handles all third party inquiries for payment resolution\.

+ Establishes and monitors patient payment plan patterns; alerts management on deviations\.

+ Assists with the development and implementation of strategies and procedures that will reduce denials, maximize reimbursements and promote faster payment\.

+ Responsible for maintaining a high level of professionalism with patients and working to establish a positive rapport with every caller\.

+ Works collaboratively with the collection agencies to reconcile data transmissions and reconciles accounts referred\.

+ Serves as Liaison between WCM and NYP Global services for billing of professional services between entities\.

+ 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\.


+ High School Diploma


College degree is preferred\.

Approximately 3\-5 years of medical billing and collection experience\.

Demonstrated knowledge of medical terminology\.

Demonstrated knowledge of third party reimbursement\.

Previous related experience in an office setting\.

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 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\.

Licenses and Certifications

Working Conditions/Physical Demands

Weill Cornell Medicine is a comprehensive academic medical center that's committed to excellence in patient care, scientific discovery, and the education of future physicians 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, 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/Minorities/Females/Vet/Disabled employer\.
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