Account Administrator-Revenue Cycle

Weill Cornell Medicine; New York (NY); On-site; USD 38,000 - 42,000; Full time

Job summary

Weill Cornell Medicine is seeking an Account Administrator-Revenue Cycle on the Upper East Side to manage billing and account receivable activities, ensuring timely insurance reimbursements and adherence to billing policies.

Under supervision, you will perform charge entry, posting of payments, verify demographics and insurance, and resolve denied claims. This role requires about 2 years of medical billing experience and knowledge of CPT/ICD coding; non-exempt, 35-hour week.

Qualifications

• Approximately 2 years of medical billing experience.
• Experience with an eMR system.
• Knowledge of CPT, ICD9, and ICD10 coding.
• Understanding of third-party reimbursement.
• Knowledge of medical terminology.

Responsibilities

• Assist with revenue cycle strategies and workflows to improve cash collections.
• Reconcile aging, past due accounts and resolve unpaid receivables.
• Prepare billing correspondence and determine account resolution.
• Enter charges and post payments in the billing system; address denied claims.
• Verify patient demographics and insurance information in the billing system.
• Verify insurance eligibility and obtain pre-authorizations when required.
• Attend trainings to stay current with billing standards.
• Provide back-up for front-end revenue cycle processes including check-in and payment reconciliation.
• Handle billing inquiries and disputes by phone.
• Generate reports for analysis.

Skills

Medical billing

Medical terminology

Third-party reimbursement

CPT/ICD9/ICD10 coding

eMR system

Education

High School Diploma

Job description

Title: Account Administrator-Revenue Cycle

Location: Upper East Side

Org Unit: Billing Support 2

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $27.64 - $30.82

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

Position Summary

Under direct supervision, performs billing and account receivable activities to maximize insurance reimbursement and promote faster payments while ensuring compliance with departmental and Physician Organization (PO) billing policies and procedures

Job Responsibilities

• As needed, assists with the development and implementation of revenue cycle strategies and workflows that will enhance cash collections, expedite account resolution and streamline billing processes.
• Reconciles revenue cycle matters such as past due accounts and invoices; reviews aging balances and takes appropriate actions to resolve unpaid receivables.
• Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed.
• Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary.
• Obtains, reviews and updates patient demographic and insurance information within the practice management billing system.
• Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient.
• Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
• Provides back-up for front-end revenue cycle processes, which may include but is not limited to, the check-in/check-out of patients and collection/reconciliation of time-of-service payments, as applicable.
• Answers phones, responds to billing inquiries and disputes.
• Generates reports for analysis.

Education

• High School Diploma

Experience

Approximately 2 years of medical billing experience

Knowledge, Skills and Abilities

• Prior experience working with an eMR system.
• Demonstrated knowledge of medical terminology.
• Knowledge of third party reimbursement.
• Knowledge of CPT, ICD9, and ICD10 coding.

Working Conditions/Physical Demands

Standard office work

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