Revenue Cycle Supervisor, AR Credit Resolution

This is a fully remote position, open to applicants in New York.

📋 Description

• Oversee the daily functions and operations of comprehensive refund services for the Physician Organization Business Office.

• Act as the primary contact for refund unit personnel concerning refunds and credit resolution on a daily basis.

• Serve as a liaison between decentralized practices, Accounting, and Patient Accounts for refund-related matters.

• Manage the timely processing of refunds and determine necessary actions to achieve monthly objectives.

• Develop and implement guidelines and policies pertaining to refunds.

• Supervise the operations related to credit balance resolution for Weill Cornell groups affiliated with the Physician Organization.

• Set refund parameters to meet weekly and monthly targets.

• Provide training to staff on refund policies, departmental procedures, and systems; monitor their performance and implement corrective actions when required.

• Review credit reports and work queues to track credit balances and inform management of any changes in credit status.

• Prepare and process refunds for overpayments made by patients and insurance companies.

• Review, authorize refund requests, and validate documentation for refunds from decentralized departments.

• Compile monthly credit balance resolution and refund reports for the PO Audit and Control Coordinator.

• Collaborate with management, Finance and reporting, and ACIS teams on workflows and applications related to refund processing and credit resolution.

• Monitor employee time records and address payroll issues.

• Address interdisciplinary staff matters in conjunction with Human Resources.

• Build relationships with third-party insurance carriers to expedite refunds and resolve offsets.

• Collaborate with the Global Contracts manager to address issues related to excess Global Package, URN, and Transplant Evaluation payments, as well as invalid retractions.

• Perform other related duties as assigned.

⛳️ Requirements

• Bachelor's Degree.

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

• Significant relevant experience may substitute formal education, with two to four years of prior supervisory experience in a professional billing, practice management, and collections environment.

• Knowledge of Professional EPIC and Cognos Reporting systems is highly desired.

• Supervisory skills to assess the strengths and weaknesses of subordinate staff, identifying areas for coaching, training, and development.

• Strong organizational, oral and written communication, interpersonal, problem-solving, analytical, and detail-oriented skills.

• Proficiency in Microsoft Office suite applications.

• Experience in creating and executing database queries.

• Familiarity with third-party healthcare reimbursement and government regulations, including CPT and ICD coding.

• Willingness to work mandatory weekends and weekday hours according to the month-end calendar.

🏝️ Benefits

• Mandatory weekends and weekday hours according to the month-end calendar.

• Equal employment and affirmative action protections.

• Diverse and inclusive workplace.