Revenue Cycle Specialist – A/R

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🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $32 - $35 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Cornell University

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

Cornell University is a prestigious Ivy League institution that provides a comprehensive education in various disciplines, placing a strong emphasis on research and academic excellence. It is home to Weill Cornell Medicine, which focuses on medical education, research, and patient care, contributing significantly to the fields of healthcare and biotechnology.

📋 Description

• 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. • Knowledge of medical terminology. • Prior experience working with an eMR system. • Microsoft Excel and other reporting software to sort, filter, summarize and identify.