Revenue Cycle Spec, Remittance & Credits

Title: Revenue Cycle Spec, Remittance & Credits - REMOTE

Location: REMOTE

Org Unit: Payment Posting

Work Days: Monday - Friday

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $29.15 - $35.00

*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 senior functions related to Remittance and Credit Resolution. This is a remote position.

Job Responsibilities

• Responsible for processing and handling all bulk electronic remittance payment files for all Weill Cornell Medicine and Imaging practices.
• Resolve all associated edits and credit work queues associated with all remittance payment files.
• Responsible for reconciliatory duties related to the remittance payment files.
• Maintain remittance audit tracking logs for all EFT payment sources for all departments.
• Review accounts receivable for credit and debit posting discrepancies and determine appropriate action required to resolve variance.
• Research posting inquiries and assist in gathering required documentation for resolution from EPIC, Bank applications and Insurance portals.
• Review registration, demographic, and insurance eligibility issues to determine allocation of payment and credits as well as balance billing.
• Responsible for notating and reporting inconsistent and invalid financial transactions. Monitors payment patterns and alerts manager to deviations.
• Process Credit Card authorizations received from the PCI Bank Lock Boxes for all departments.
• Process all incoming charge backs, returned, unpaid items, bank adjustments, domestic and international wire transfers, interinstitutional, Research, Global contracts, and specialized agreements across all departments.
• Assists in training current and new employees on the use of systems and departmental policies and procedures.
• Performs other job-related duties as required.

Education

High School Diploma

Experience

• Approximately 3 years of medical billing experience.
• Demonstrated knowledge of medical terminology.
• Working knowledge of third-party payor reimbursement - Medicare, Medicaid, Managed Care and Commercial Insurance.
• Secured remote workspace that adheres to HIPPA regulations and handling PHI.
• Previous related experience in an office setting.
• Limited in office training, developmental and productivity sessions may be required.
• Ability to work independently and maintain confidential and professional relationships with a variety of personnel.

Knowledge, Skills and Abilities

• Excellent oral and written communication and inter-personal skills.
• Demonstrated critical thinking and analytical skills.
• Demonstrated proficiency with MS Office Suite.
• Demonstrated ability to function independently, exercise independent judgment and employ organizational skills.
• Demonstrated ability to multi-task and prioritize in a rapidly changing environment.
• Medical Billing and Coding knowledge
• Previous experience using Epic or EMR

Licenses and Certifications

Working Conditions/Physical Demands

• Maintains established institutional and department policies and procedures, objectives, and quality standards.
• Adheres to rules and regulations regarding patient confidentiality, HIPPA and handling PHI (Privileged Health Information) including a secured remote space.
• Mandatory overtime required to meet departmental requirements at month end.
• Limited in office training, developmental and productivity sessions may be required.