Revenue Cycle Spec, AR Credit Resolution (Remote)

Weill Cornell Medicine; New York (NY); Remote; USD 44,000 - 49,000; Full time

Job summary

Weill Cornell Medicine is seeking a Revenue Cycle Specialist for AR Credit Resolution. This remote role focuses on reviewing accounts receivable and resolving credit balances across departments, with mandatory overtime at month end.

Expect collaboration with multiple teams and adherence to HIPAA and PHI handling policies. The ideal candidate will have 3–5 years of medical billing experience, strong MS Office skills, and a proven ability to analyze credit patterns while communicating effectively

Qualifications

• High School Diploma required.
• College degree preferred.
• 3–5 years of medical billing experience.
• Knowledge of medical terminology and third-party reimbursement.
• Experience in an office setting.

Responsibilities

• Analyze and validate credit transactions using Credit Work Queues.
• Develop strategies to reduce credit balances and improve resolution efficiency.
• Respond to payer requests for information and validation of coverages.
• Process denials, recoupment, and refund documents across patient accounts.
• Review AR for credit/adjustment discrepancies and take action.
• Research credit balance inquiries using EPIC, banking and insurance portals.
• Notate and report inconsistent financial transactions; monitor credit patterns.

Skills

AR analysis

Credit resolution

MS Office

HIPAA

Communication skills

Education

High School Diploma

College degree preferred

Tools

EPIC

MS Office Suite

Insurance portals

Job description

Select how often (in days) to receive an alert:

Title: Revenue Cycle Spec, AR Credit Resolution (Remote)

Title: Revenue Cycle Spec, AR Credit Resolution (Remote)

Location: Midtown

Org Unit: Refunds

Work Days:

Weekly Hours:35.00

Exemption Status:Non-Exempt

Salary Range:$32.03-$35.88

*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 credit transactions across all departments for proper resolution. Works dedicated project based spreadsheets.
• Assists with the development and implementation of strategies and procedures that will reduce credit balances and maximize credit resolution efficiency.
• Responds to payer request for additional information and validation of coverages. Responds to other credit balance related inquiries.
• Processes correspondence items related to denials, recoupment and refund request documents across all patient accounts. Submits letters for payer recoupment extensions.
• Reviews accounts receivable for credit, adjustment posting discrepancies and determines appropriate action required to resolve variance.
• Researches credit balance inquiries and assists in gathering required documentation for resolution from EPIC, Banking and Insurance portals.
• Reviews registration, demographic and insurance eligibility issues to determine allocation of payments and credits.
• Responsible for notating and reporting inconsistent and invalid financial transactions. Monitors credit patterns and alerts manager to deviations.
• Processes all incoming returned refund checks across all departments and assess proper resolution. Contacts payers regarding discrepancies and appeals of requested refunds.
• Assists in training current and new employees on the use of systems and departmental policies and procedures. Assists in the audit of the new employees and provides feedback.
• 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 3 – 5 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.

Licenses and Certifications

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, 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). We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.