Revenue Cycle Coord, AR Credit Resolution

Weill Cornell Medicine; New York (NY); On-site; USD 35,000 - 38,000; Full time

Job summary

Weill Cornell Medicine in Midtown seeks a Revenue Cycle Coordinator for AR credit resolution. You will review accounts receivable and resolve credit balances, handling self-pay and simple insurance credits, verifying coverage, and responding to payer inquiries.

Ideal candidates have about 1+ year of medical billing experience, knowledge of medical terminology and third-party reimbursement, and proficiency with MS Office. Overtime may be required at month-end in a HIPAA-compliant setting.

Qualifications

• Requires a high school diploma; college degree preferred.
• Approximately 1+ year of medical billing experience.
• Knowledge of medical terminology and third-party reimbursement.
• Experience in an office setting.
• HIPAA and PHI handling knowledge.

Responsibilities

• Analyze self-pay and simple insurance credit transactions for resolution.
• Respond to payer requests for information and validation of coverages.
• Process refund-related correspondence across all patient accounts.
• Review accounts receivable for credit and adjustment posting discrepancies.
• Research credit balance inquiries using EPIC, banking, and insurance portals.
• Review registration, updates to demographics and insurance eligibility for payment allocation.
• Notate and report inconsistent and invalid financial transactions; alert manager.
• Process incoming returned patient refund checks and verify patient addresses.
• Assist in training staff on systems and policies.
• Maintain HIPAA-compliant handling of PHI.
• Perform other duties as required.

Skills

Independent judgment

Communication skills

Interpersonal skills

MS Office

Attention to detail

Critical thinking

Multitask

Confidentiality

Professionalism

Collaboration

Education

High School Diploma

College degree preferred

Tools

MS Office Suite

Database applications

Job description

Title: Revenue Cycle Coord, AR Credit Resolution

Location: Midtown

Org Unit: Refunds

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $25.34 - $27.25

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

Position Summary

Responsible for carrying out all functions related to Account Receivable review and Credit Resolution.

Job Responsibilities

• Utilizes the Credit Work Queues to analyze and validate self-pay and simple insurance related credit transactions across all departments for proper resolution.
• Responds to payer request for additional information and validation of coverages. Responds to other credit balance related inquiries.
• Processes correspondence items related to specific payer and type of refund request documents across all patient accounts.
• Reviews accounts receivable for credit, adjustment posting discrepancies and determines appropriate action required to resolve variance.
• Researches self-pay and other patient responsibility credit balance inquiries and assists in gathering required documentation for resolution from EPIC, Banking and Insurance portals.
• Reviews registration, updates demographic and insurance eligibility to determine allocation of payments, credits and mailing of refund checks.
• Responsible for notating and reporting inconsistent and invalid financial transactions. Monitors credit patterns and alerts manager to deviations.
• Processes all incoming returned patient refund checks across all departments, contacts patients for address verification and assesses proper resolution.
• 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.

Education

• High School Diploma

Experience

College degree is preferred.

Approximately 1+ years of medical billing 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.

Working Conditions/Physical Demands

Position requires mandatory overtime to meet departmental requirements at month end.

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.