Title: Revenue Cycle Analyst - Transplant (Remote)  

Location: Midtown  

Org Unit: Engagement and Process Improvement 

Work Days:  

Weekly Hours: 35.00 

Exemption Status: Exempt

Salary Range: $89,600.00 - $102,800.00  

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

Position Summary

Manages the claim submission and payment acquisition for WMCPO/NYPH global transplant package contracts. Responsible for the implementation and management of the WMCPO/NYPH Transplant Evaluation program claims submission, payment, and account reconciliation.

Job Responsibilities Manages the NYPH Global Transplant Package Program. Develops allocation reports of funds & receipts. Manages payment posting into the enterprise system. Develops ways to improve payment posting/refund processes that comply with the internal & external policies. Develops internal training sessions for staff on Global Package Program’s rules and compliance requirements. Responsible for the distribution and account payment reconciliation of the United Resource Network (Optum) program. Develops distribution reports to apply payments. Creates and maintains an Optum manual for rules and compliance. Administers global package payments for the Gift of Life Program. Creates reports for distribution of funds & allocates payments. Compiles distribution reports, posts PKG payments & reconciles account. Educates staff of program guidelines & exclusions. Analyzes the distribution of the Cigna Life Source PKG case rate for Kidney and BMT admissions generated from the Managed Care Contracting office. Compiles distribution reports, posts PKG payments, and reconciles accounts. Administers data collection and payment posting of the Transplant Evaluation (TE) Program. Maintains database for managing claims/posting process. Creates charge review and claim edit rules for the program. Creates training materials and PowerPoint presentations on the Transplant Evaluation (TE) Program. Serves as a liaison for departments in understanding program rules and offers suggestions/education on A/R initiatives. Conducts ad hoc meetings as needed. Make recommendations on increasing revenue through analysis of underpaid and denied claims for the department of Anesthesia. Responsible for the development and expansion of practice management tools that expedite identification of underpaid claims. Works closely with Managed Care Contracting Office for clarification of contract guidelines and communicates programs' inconsistencies. Offers recommendations to improve business flow. Performs other job-related duties as required. Education Bachelor's Degree or experience commensurate with job requirement. Experience Approximately 5 or more years of prior experience with revenue cycle, managed care contracting and data analysis. Knowledge of automated physician practice management systems. Coding knowledge, CPT, ICD10 and modifiers. EPIC system experience preferred. Knowledge, Skills and Abilities Demonstrated proficiency with MS Office Suite and database applications. Advanced level of communication and interpersonal skills. Strong written, verbal, and presentation skills to a wide range of audiences. Ability to meet deadlines and work in high volume work environment. 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.