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.
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.
