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Tailor your resume to this Revenue Cycle Spec, AR Credit Resolution (Remote) role.
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About the Role
Responsible for carrying out all functions related to Account Receivable review and Credit Resolution.
Responsibilities
- Utilize Credit Work Queues to analyze and validate credit transactions across all departments for proper resolution.
- Work dedicated project-based spreadsheets.
- Assist with the development and implementation of strategies and procedures to reduce credit balances and maximize credit resolution efficiency.
- Respond to payer requests for additional information and validation of coverages.
- Respond to other credit balance related inquiries.
- Process correspondence items related to denials, recoupment, and refund request documents across all patient accounts.
- Submit letters for payer recoupment extensions.
- Review accounts receivable for credit and adjustment posting discrepancies and determine appropriate resolution actions.
- Research credit balance inquiries and assist in gathering required documentation for resolution from EPIC, Banking, and Insurance portals.
- Review registration, demographic, and insurance eligibility issues to determine payment and credit allocation.
- Notate and report inconsistent and invalid financial transactions.
- Monitor credit patterns and alert manager to deviations.
- Process all incoming returned refund checks across all departments and assess proper resolution.
- Contact payers regarding discrepancies and appeals of requested refunds.
- Assist in training current and new employees on system usage and departmental policies and procedures.
- Assist in the audit of new employees and provide feedback.
- Maintain established institutional and department policies, procedures, objectives, and quality & safety standards.
- Respect and adhere to rules and regulations regarding patient confidentiality, HIPAA, and handling PHI.
- Perform other job-related duties as required.
- Position requires mandatory overtime to meet departmental requirements at month end.
Requirements
- 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.
Skills
- 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.
Location
- Midtown
- Remote
Work Type
- Remote
- Full-time
Experience Level
- 3-5 years
Education Level
- High School Diploma
- College degree preferred
Salary/Compensations
- $32.03 - $35.88
About the Company
- 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.”
Equal Opportunity
- 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.