Revenue Cycle Spec, Cust Srvce & Collect

Position Summary

Customer Service and Collections department of a respected academic medical institution that is deeply committed to exemplary patient care. Performs the day-to-day customer service activities within the centralized revenue cycle business office, responsible for ensuring customer satisfaction through timely and professional follow-up to customer inquiries and balances.  

Job Responsibilities

• Responsible for the review and follow-up of a large volume of self-pay patient accounts for resolution and prompt payment.
• Responsible for account discrepancies, variances, and credit validation across all departments.
• Responsible for reviewing insurance claim and registration edits, eligibility issues, denied and rejected claim follow up.
• Establishes and monitors patient payment plan patterns; alerts management on deviations.
• Assists with the development and implementation of strategies and procedures that will reduce denials, maximize reimbursements and promote faster payment.
• Responsible for maintaining a high level of professionalism with patients and working to establish a positive rapport with every caller.
• Serves as Liaison between WCM and NYP Global services for billing of professional services between entities.
• Assists in training current and new employees on the use of systems and departmental policies and procedures.
• Maintains established institutional and department policies and procedures, objectives and quality & safety standards. Respects and adheres to rules and regulations regarding patient confidentiality, HIPAA and handling PHI (Privileged Health Information).
• Performs other job related duties as required.

Education

• High School Diploma

Experience

Approximately 3 years of medical billing and collections experience.

Demonstrated knowledge of medical terminology.

Working knowledge of third-party payor reimbursement - Medicare, Medicaid, Managed Care and Commercial Insurance.

Previous related experience in an office setting

Secured remote workspace that adheres to HIPPAA regulations and handling PHI.

Knowledge, Skills and Abilities

• Excellent oral and written communication and inter-personal skills.
• Demonstrated ability to multi-task and prioritize in a rapidly changing environment.
• Demonstrated organizational skills and ability to pay close attention to detail.
• Previous experience using Epic or EMR
• Demonstrated ability with Microsoft Office – Excel.

Licenses and Certifications

Working Conditions/Physical Demands