Account Administrator-Revenue Cycle
Under direct supervision, performs billing and account receivable activities to maximize insurance reimbursement and promote faster payments while ensuring compliance with departmental and Physician Organization (PO) billing policies and procedures
Job Responsibilities
- As needed, assists with the development and implementation of revenue cycle strategies and workflows that will enhance cash collections, expedite account resolution and streamline billing processes.
- Reconciles revenue cycle matters such as past due accounts and invoices; reviews aging balances and takes appropriate actions to resolve unpaid receivables.
- Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed.
- Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary.
- Obtains, reviews and updates patient demographic and insurance information within the practice management billing system.
- Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient.
- Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
- Provides back-up for front-end revenue cycle processes, which may include but is not limited to, the check-in/check-out of patients and collection/reconciliation of time-of-service payments, as applicable.
- Answers phones, responds to billing inquiries and disputes.
- Generates reports for analysis.
Education
- High School Diploma
Experience
Approximately 2 years of medical billing experience
Knowledge, Skills and Abilities
- Prior experience working with an eMR system.
- Demonstrated knowledge of medical terminology.
- Knowledge of third party reimbursement.
- Knowledge of CPT, ICD9, and ICD10 coding.
Licenses and Certifications
Working Conditions/Physical Demands
Standard office work
Weill Cornell Medicine is a comprehensive academic medical center that's committed to excellence in patient care, scientific discovery, and the education of future physicians in New York City and around the world. Our doctors and scientists-faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization-are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies. Located in the heart of the Upper East Side's scientific corridor, Weill Cornell Medicine's powerful network of collaborators extends to its parent university Cornell University; to Qatar, where an international campus offers a U.S. medical degree; and to programs in Tanzania, Haiti, Brazil, Austria and Turkey. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, and NewYork-Presbyterian/Queens. At Weill Cornell Medicine, we work together to treat each individual, not just their conditions or illnesses, as we strive to deliver the finest possible care for our patients - the center of everything we do. Weill Cornell Medicine is an Equal Employment Opportunity Employer. Weill Cornell Medicine provides equal employment opportunities to all qualified applicants without regard to race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.