Job Description
Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.
What will you be doing in this role?
Under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient accounts, reviewing and processing credits, posting payments, and account reconciliations. Positions at this level require expert knowledge, skill, and proficiency in CS-Link functions and multi-specialty areas of the revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts, and CSHS policies governing billing and collections and sound interpretation of same. Incumbents are expected to research, analyze, and resolve complex cases and problem accounts with minimal assistance. Serves as a technical resource (subject matter expert) to others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist III:
- Independently responds timely and accurately to all requests. Interacts professionally and courteously with employees and internal and external customers.
- Adheres to instructions, verbal and written, to achieve desired results. Assists supervisors in composing policy and procedure manuals and statements for the department. Communication is clear and easy to understand. Thoughts are coherent and logical.
- Effectively manages time, maintains a clean and orderly workstation. Prioritizes work activities consistent with department goals and can balance daily workload and several projects.
- Exemplifies high standards of professionalism, responsibility, accountability, and ethical behavior.
- Applies detailed knowledge of and aligns with all hospital, physician, and department policies, procedures (e.g., PHI).
- Demonstrates detailed knowledge of CS-Link and/or department-specific systems and uses them effectively.
- Effectively monitors assigned work queues and workload, ensuring resolution of accounts in a timely and accurate manner.
- Adheres to documentation standards of the department and properly uses activity codes.
- Accurately bills multispecialty claims within established timelines and initiates dialogue with payors, patients, and departments.
- May assume lead role in the absence of the supervisor, oversee day-to-day department activities and is able to effectively address any concerns that may arise.
Qualifications
Requirements:
- High school diploma or GED required. College level courses in finance, business or health-related certificates are preferred.
- A minimum of four years of experience in professional and/or hospital revenue cycle billing experience is required.
- Ability to read, write, understand and speak effectively in English.
Experience we are seeking:
- Hospital revenue cycle experience preferred.
- Basic computer and navigation skills. Experience with MS Office, Web/Vs, Emdeon, and CS-Link preferred.
- Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.
- Basic understanding of HIPAA and other privacy information guidelines preferred.
- Ability to perform relevant business math (including addition, subtraction, multiplication, and division).
- Good verbal and written communication skills.
- Keyboard and data entry proficiency.
- Ability to handle multiple tasks in a fast-paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.
- Professional and courteous demeanor.
Why work here?
Beyond extraordinary benefits, paid time off, competitive salaries, and health and dental insurance, we take pride in hiring the best employees. Our amazing staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.
Req ID: 5300
Working Title: Revenue Cycle Specialist III (Remote)
Department: MNS PBS Huntington Hospital
Business Entity: Cedars-Sinai Medical Center
Job Category: Patient Financial Services
Job Specialty: Patient Billing
Overtime Status: NONEXEMPT
Primary Shift: Day
Shift Duration: 8 hour
Base Pay: $25.06 - $37.59
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