Revenue Cycle Coordinator - OMFS

Weill Cornell Medicine; New York (NY); On-site; USD 40,000 - 45,000; Full time

Job summary

Weill Cornell Medicine on the Upper East Side seeks a Revenue Cycle Coordinator to support front-end operations, including insurance verification, referrals, authorizations, patient financial estimates, and documentation, while collecting patient payments.

Responsibilities include verifying eligibility, obtaining pre-authorizations, handling LOAs, ensuring timely financial clearance, and collaborating with providers and billing teams to maintain compliance and accurate reimbursement.

Qualifications

• 3 years of medical billing or pre-authorization experience.
• Dental billing and authorization experience preferred.

Responsibilities

• Collect patient and GFE payments.
• Verify patient insurance eligibility and obtain pre-authorizations as needed.
• Obtain LO(M)Ns and appeal documents and forward to the admin team.
• Document authorization numbers in Epic and share with division team.
• Review schedules and resolve missing referrals and authorization requirements.
• Answer calls regarding billing issues and payments.
• Collaborate with providers and revenue cycle teams to ensure compliant reimbursement.

Skills

Communication skills

Organizational skills

Critical thinking

Multi-tasking

Discretion/confidentiality

Education

High School Diploma

Bachelor's Degree Preferred

Tools

Epic

Job description

Title: Revenue Cycle Coordinator - OMFS
Location: Upper East Side
Org Unit: Otolaryngology Head and Neck Surgery
Work Days: Monday-Friday
Weekly Hours: 35.00
Exemption Status: Non-Exempt
Salary Range: $28.68 - $32.80

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

Position Summary

Supports front-end revenue cycle operations by coordinating insurance verification, referrals, authorizations, patient financial estimates, and billing documentation, in addition to collecting all required patient payments.

Job Responsibilities

• Collect patient and GFE payments
• Alert admin team to non-covered or self-pay patients whether GFE is needed, or if payment is to be collected
• Verifies patient insurance eligibility and obtains necessary pre-authorizations for in-office and hospital procedures, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patients.
• Obtain Letters of Medical Necessity (LOMNs) and appeal documentation from residents and surgeons and forward completed documentation to the Practice Supervisor or admin team
• Responsible for obtaining financial clearance and/or prior balances patients may have
• Documents all authorization numbers obtained in Epic and relays information to division administrative team
• Review upcoming patient schedules at least three (3) days in advance to identify and resolve missing referrals and authorization requirements, working with division administrative team
• Answer incoming customer service calls regarding billing issues, general inquiries and collecting credit card payments/authorizations
• Collaborate with providers, clinical staff, coding, and revenue cycle teams to ensure timely financial clearance, regulatory compliance, and accurate reimbursement
• Initiates and prepares written correspondence as needed and based on functional needs.
• Performs other job-related duties as required.

Education

• High School Diploma
• Bachelor's Degree Preferred

Experience

• Approximately 3 years of medical billing or pre-authorization experience
• Dental billing and authorization preferred

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 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

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.