What are the responsibilities and job description for the Billing Specialist position at Weill Cornell Medicine?
Title: Billing Specialist
Title: Billing Specialist
Location: Upper East Side
Org Unit: Clinical Operations
Work Days:
Weekly Hours: 35.00
Exemption Status: Non-Exempt
Salary Range: $29.15 - $32.91
- As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices
Position Summary
Assists with planning, directing and implementing the department's charge entry process through resolute and physician organization system applications. Ensures the timely and complete entry of all billable charges for the department.
Job Responsibilities
- Monitors charge entry billing activities. Utilizes automated reports to monitor performance including service to posting reports, missing charge reports, Resolute charge review and other charge rules and the overall utilization of EMR systems.
- Monitors and identifies issues with volume of charges entered daily; troubleshoots and resolves identified issues. Achieves the PO benchmark for service to posting delays.
- Recommends process improvements to address delayed or error prone charge entry via the billing interface which may impact account receivables and net collections.
- Responsible for managing the department charge work-queues to include service to posting benchmarks, denials rules, coding, other billing rules and the overall work-queues utilization.
- Liaises with PO/Business Office (PO/BO) regarding charge rules, payer’s policies, systems and PO/BO procedures.
- Creates and runs EMR queries as needed and utilizes standard reports to monitor and analyze account receivables. Documents all finding and makes recommendations to the billing staff.
- Maintains EMR dictionaries. Initiates on behalf of the department all fee schedule changes, requests for new provider codes, procedure codes, referral physician and other dictionaries as needed.
- Obtains missing registration data and confirms insurance coverage when necessary
- Assists in the third party credentialing process for new and existing physicians. Contacts insurers as necessary to troubleshoot and resolve credentialing issues.
- Performs other related duties as assigned.
Education
- High School Diploma
Experience
Approximately 2 years of experience in a multi-specialty academic medical practice including medical billing and scheduling software.
Knowledge of third party healthcare reimbursement regulations.
Knowledge of CPT & ICD-9/10 Coding;
Previous experience working with electronic medical record (EMR) systems, ideally EPIC.
Knowledge, Skills and Abilities
- Demonstrated excellent organizational, oral and written communication skills.
- Demonstrated ability to work within an organization emphasizing teamwork, respect, and excellence.
Licenses and Certifications
Working Conditions/Physical Demands
Weill Cornell Medicine is a comprehensive academic medical center that is committed to excellence in patient care, scientific discovery, and the education of future physicians and scientists 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, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, 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 protected status, including race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.
Nearest Major Market: Manhattan
Nearest Secondary Market: New York City
Salary : $29 - $33
