Revenue Cycle Spec, Remittance & Credits - REMOTE

Position Title

Revenue Cycle Spec, Remittance & Credits - REMOTE

Position:
Revenue Cycle Specialist, Remittance & Credits — REMOTE. This role is remote from Weill Cornell Medicine and Imaging practices and falls under the Payment Posting unit. Work days are Monday–Friday; weekly hours are 35. Exemption status:
Non-Exempt. Salary range: $29.15 – $35.00 per hour.

Responsible for carrying out all senior functions related to remittance and credit resolution. This is a remote position.

• Process and handle all bulk electronic remittance payment files for all Weill Cornell Medicine and Imaging practices.
• Resolve all associated edits and credit work queues related to remittance payment files.
• Perform reconciliatory duties related to 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 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.
• Notate and report inconsistent and invalid financial transactions; monitor payment patterns and alert management to deviations.
• Process credit card authorizations received from PCI bank lock boxes for all departments.
• Process all incoming chargebacks, returned items, unpaid items, bank adjustments, domestic and international wire transfers, interinstitutional, research, global contracts, and specialized agreements across all departments.
• Assist in training current and new employees on the use of systems and departmental policies and procedures.
• Performs other job-related duties as required.

• High School Diploma

• 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 HIPAA 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.

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

• Related licenses and certifications as applicable to medical billing and coding.

• Maintains established institutional and department policies and procedures, objectives, and quality standards.
• Adheres to rules and regulations regarding patient confidentiality, HIPAA and handling PHI (Privileged Health Information) in 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.