Revenue Cycle Supervisor, AR Credit Resolution- Hybrid

Title: Revenue Cycle Supervisor, AR Credit Resolution- Hybrid

Location: Midtown

Org Unit: Payment Posting Refunds

Work Days:

Weekly Hours: 35.00

Exemption Status: Exempt

Salary Range: $88,800.00 - $99,900.00

*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

Position Summary

Oversees the daily operations and activities of the comprehensive refund services of the Physician Organization Business Office. Serves as the primary day-to-day contact for the refund unit staff for all aspects relating to refunds and credit resolution.

Job Responsibilities

• Serves as intermediary between decentralized practices, Accounting & Patient Accounts regarding refund issues. Manages processing of refunds, ensuring they are processed timely. Determines the appropriate action necessary to meet budgeted monthly goals.
• Develops and implements refund guidelines and policies. Supervises daily operations in the credit balance resolution unit for all of the Weill Cornell groups contracted with the PO. Establishes timely refund parameters to meet weekly and monthly goals.
• Trains staff in refund policies, departmental procedures, systems, monitors job performance, takes corrective action when necessary. Reviews credit reports & credit work queues to monitor credit balances. Advises management of all changes in credit status.
• Prepares and processes refunds for patient and insurance overpayments. Reviews and authorizes refund requests for all centrally managed departments. Receives, validates supporting documentation and releases all decentralized department submitted refunds.
• Prepares monthly summary reports on Credit Balance resolution and refunds processed for PO Audit and Control Coordinator.
• Works closely with the management team, Finance and reporting team, ACIS team in analyzing, creation and implementation of new workflows and applications related to Refund processing and credit resolution.
• Monitors and maintains all employee time record keeping and payroll issues. Handles all interdisciplinary staff issues with the Human Resource Department.
• Establishes relationships with third party insurance carriers to work jointly expediting refunds and offset issues for all Weill Cornell groups.
• Works in conjunction with the Global Contracts manager to resolve excess Global Package, URN and Transplant Evaluation payments and invalid retractions.
• Performs other related duties as assigned.

Education

• Bachelor's Degree

Experience

Significant related experience can substitute for formal education with two to four years prior supervisory experience in a professional billing, practice management and collections environment.

Approximately 5 years of prior experience in a multi-specialty physician professional billing, practice management or collections in a large academic center.

Knowledge of Professional EPIC and Cognos Reporting systems highly desired.

Knowledge, Skills and Abilities

• Skilled in determining strengths and weaknesses in subordinate staff, and able to identify areas of growth to coach train and provide staff development.
• Demonstrated organizational skills, oral and written communication, interpersonal skills, strong problem solving analysis skills and ability to pay close attention to detail.
• Demonstrated proficiency in MS suite applications and experience creating and running database queries.
• Demonstrated knowledge of third party healthcare reimbursement regulations and government regulations including CPT and ICD coding.

Licenses and Certifications

Working Conditions/Physical Demands

Mandatory weekends and weekday hours required according to month end calendar in order to maintain departmental requirements.

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.” 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, actual or perceived disability (including persons associated with such a person), 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) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.