Revenue Cycle Specialist-A/R

Location: Midtown, Remote position with rare onsite requirement

Work Days: Monday-Friday | Weekly Hours: 35 | Exemption Status: Non-Exempt | Salary Range: $32.03 - $35.88/hour

About the Role

Join a team of dedicated revenue cycle professionals in the Central Business Office (CBO) of Weill Cornell Medicine (WCM). The CBO partners with WCM Clinical Departments to increase and expedite service revenue, reduce aged AR, and trend denials for their root causes—driving efficiencies in clinical documentation improvement and denial prevention.

Responsibilities

• Performs extensive follow-up to investigate and resolve payment denial trends.
• Assists with the development and implementation of strategies and procedures that will reduce denials, maximize reimbursements, and promote faster payment.
• Utilizes the practice management system to sort, filter, summarize, and identify various account receivable trends to solicit payments from insurance companies and patients.
• Prepares letters of appeal to insurance carriers for claims that were not paid or paid at the incorrect rate.
• Resolves claim edits within the practice management billing system to ensure successful claim submission.
• Assists in training current and new employees on the use of systems and departmental policies and procedures.
• Maintains up-to-date policies and procedures and knowledge related to managed care and third-party payors.
• Reviews and submits refund and write-off requests.
• Approves and performs write-offs as requested and as necessary.
• Performs other related duties as assigned.

Requirements

• High school diploma or GED.
• Approximately 3-5 years of medical billing, specifically accounts receivable experience.
• Knowledge of third-party reimbursement and medical terminology.
• Prior experience working with an eMR system.
• Proficiency with Microsoft Excel and other reporting software to sort, filter, summarize, and identify data.

Skills and Abilities

• Demonstrated ability to function independently and exercise independent judgment.
• Strong communication and interpersonal skills; ability to interact with multiple constituencies.
• Critical thinking and analytical skills.
• Organizational skills and ability to pay close attention to detail.
• Ability to multi-task and prioritize in a fast-paced environment.
• Ability to treat confidential information with utmost discretion.
• Professionalism and ability to work effectively in a collaborative manner with all departmental faculty and staff, as well as other institutional representatives.
• Proficiency with MS Office Suite and database applications.

Working Conditions

• Remote-based work with a dedicated home workspace conducive to a healthy work environment.