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Revenue Cycle Specialist-A/R

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 level functions related to billing, collections and credentialing\.

Job Responsibilities

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

+ Reviews accounts receivable for discrepancies\.

+ Develops work schedules with the supervisor for aggressive account follow\-up and resolution\.

+ Performs extensive follow\-up to investigate and resolve payment denial trends\.

+ Utilizes the practice management system to sort, filter, summarize and identify various account receivable trends to solicit payments from insurance companies and patients\.

+ Reviews various reports and makes recommendations to resolve outstanding patient responsibility\.

+ Monitors payment patterns and alerts manager to deviations\.

+ Assists patients in appealing denied claims\. Prepares letters of appeal to insurance carriers for claims that were not paid or paid at the incorrect rate\. Answers inquiries from patients and insurance companies regarding unpaid physician charges\.

+ When necessary resolves charge review, registration and 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\.

+ Attends workshops and seminars to keeps abreast of billing policies and procedures\.

+ Generates reports for analysis\.

+ Reviews and submits refund and write\-off requests\. Approves and performs write\-offs as requested and as necessary\.

+ Under direction, distributes work assignments to staff\.

+ Performs other related duties as assigned\.


+ High School Diploma


Bachelors degree is preferred\.

CPC preferred\.

Approximately 3\-5 years of medical billing, specifically accounts receivable experience\.

Demonstrated knowledge of third party reimbursement\.

Demonstrated knowledge of medical terminology\.

Prior experience working with an eMR system\.

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

Ability to sit for long periods of time, working on a computer in an office setting with typical office lighting and temperature variations\.

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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