Revenue Cycle Specialist II

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Job Description - Revenue Cycle Specialist II

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, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc.. Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents work independently and have strong customer service, analytic and problem solving skills, and are able to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents may assist other team members.

This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II:

  • Participates in department meetings and provides feedback to management on how to improve department processes. Adheres to instructions, verbal and written, to achieve desired results.
  • Adheres to documentation standards of the department and properly uses activity codes. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.
  • Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Takes initiative on issues and/or problems by escalating them to supervisor.
  • Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.
  • Processes incoming correspondence, based on reason code, timely and accurately.
  • Ensures information on the account is complete and accurate. Adheres to payment timeline protocol.
  • Adheres to payment timeline protocol and assists other team members with resolution of accounts when needed.
  • Demonstrates detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems and uses them effectively and efficiently.

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Qualifications

REQUIREMENTS:

  • High school diploma or GED required.
  • A minimum of two years experience of hospital or professional billing and/or collections experience required. Four years experience or more preferred.
  • 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 outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished 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.

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Req ID : 2121

Working Title : Revenue Cycle Specialist II

Department : CSRC HB Follow Up

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 : $22.07 - $33.11

About Cedars-Sinai Medical Center

Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competi ... tive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.

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