Revenue Cycle Specialist II

7 months ago

Redondo Beach, United States CEDARS-SINAI Full time
Job Description

What will you be doing in this role?

Under general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating patient registration on accounts, etc. Positions at this level require expert knowledge, skill and proficiency in specialized functions and multiple 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, specialties, and provide back-up coverage.

In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution. You will work with minimal direction from management to ensure the integrity of the work performed. We work in a team environment to fulfill the mission and goals of the Department.


Qualifications

Requirements:

  • High school graduate or GED required.
  • Ability to read, write, understand and speak English effectively.
  • A minimum of three years professional/physician billing and/or Collection experience – CMS1500 experience a plus. This physician billing experience includes corresponding with patients and insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures. Experience with reading Explanation of Benefits (EOB) statements.

Experience We are Seeking:

  • Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill type, diagnosis, and revenue codes).
  • Experience with MS office, Web/Vs, Availity and CS-Link preferred.
  • Expert knowledge of regulatory and CSHS policies and procedures. Basic understanding of HIPAA and other privacy information guidelines
  • Ability to perform business math.
  • Successful completion of PRMPT 1.
  • 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.
  • Minimum 3 years’ experience in Commercial and Government billing and follow up. Office visits, procedures, outpatient and inpatient preferred.
  • Ability to interpret regulations for Commercial Ins, CMS or Medi-Cal
  • Professional and courteous demeanor.

Req ID : 1640
Working Title : Revenue Cycle Specialist II
Department : CSRC PB - Group
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

  • Revenue Cycle Manager

    1 day ago

    Deerfield Beach, Florida, United States Wolters Kluwer Full time

    About the OpportunityWe are seeking a highly skilled Medicare Compliance Specialist to join our team at Wolters Kluwer. The ideal candidate will have a strong understanding of healthcare reimbursement systems and be proficient in analyzing CMS rules as it relates to claims and processes.You will be responsible for conducting data analysis to ensure our...

  • Revenue Cycle Analyst

    2 weeks ago

    Virginia Beach, VA, United States Accuity Full time

    Job Type Full-time Description POSITION SUMMARY: The Revenue Cycle Analyst performs daily chart completion tasks including review in the client EHR systems for Accuity provider clarification responses and daily reconciliation of Accuity client base DNFB. The Revenue Cycle Analyst will be responsible for managing requests and working with end users (Coders,...

  • Revenue Specialist

    4 weeks ago

    Manhattan Beach, United States Medix Full time

    Job DescriptionJob DescriptionOverview of Responsibilities:This person is responsible for traditional revenue cycle collection functions and so a base layerunderstanding, knowledge and experience in RCM space is crucial to their success in the role. This person isalso expected to know and understand health insurance terminology. This person will be...

  • Manager Patient Financial Services Revenue Cycle

    1 month ago

    Litchfield Beach, United States Jobot Full time

    Job DescriptionJob DescriptionHiring a Manager for PFS Revenue Cycle with Cash Posting experienceThis Jobot Job is hosted by: Cam StrahmAre you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $80,000 per yearA bit about us:We believe that exceptional performance deserves not just recognition but a standing...

  • Risk Management Specialist

    6 days ago

    Redondo Beach, California, United States Impulsespace Full time

    About the RoleWe are seeking a skilled Risk Management Specialist to join our Legal team at Impulse Space. As a key member of our team, you will be responsible for negotiating and overseeing commercial contracts and ensuring the requisite compliance.Key ResponsibilitiesDraft, negotiate, and manage all inbound and outbound commercial agreements, including...

  • Healthcare Revenue Recovery Specialist

    6 days ago

    Deerfield Beach, Florida, United States Butterfly Effects Full time

    Role OverviewHealthcare Revenue Recovery SpecialistWe are seeking a skilled Healthcare Revenue Recovery Specialist to join our team. The successful candidate will be responsible for collecting accurate payments, resolving outstanding payor account balances, and maintaining customer satisfaction through excellent customer service and timely invoicing.Main...

  • Revenue Specialist

    6 days ago

    Palm Beach County, United States Corrado Properties Full time

    Revenue Management CoordinatorLocation: Based at the corporate office in West Palm Beach, Florida, or on property in Moab, Utah.Property: 55-Room HotelOverview:We are seeking a motivated and detail-oriented Revenue Management Coordinator to optimize revenue opportunities for our 55-room property in Moab, Utah. The ideal candidate will have a strong...

  • Assistant Contract Specialist/Contract Specialist

    3 weeks ago

    Virginia Beach, United States Navy Exchange Full time

    Title: Assistant Contract Specialist/Contract Specialist (Level I/II) Location: United States-Virginia-Virginia Beach Job Number: 240003B1 Job Summary: Assists a higher level Contracts Specialist in performing contracting functions. Duties and Responsibilities: Performs all or a majority of the following representative duties: - Prepares solicitation and...

  • Commercial Transaction Specialist

    5 days ago

    Redondo Beach, California, United States Impulsespace Full time

    Job Summary: Impulse Space is seeking an experienced Commercial Transaction Specialist to join our Legal team. As a key member of the team, you will be responsible for identifying and managing risks across the organization to ensure compliance with relevant laws and regulations.">About the Role: In this role, you will negotiate and oversee commercial...

  • Revenue Cycle Representative

    6 days ago

    Daytona Beach, Florida, United States Halifax Health Full time

    Required Skills and QualificationsThe successful candidate will possess the following qualifications:Bachelor's degree in a related fieldMinimum 1-2 years of experience in patient accounting or a related fieldExcellent communication and interpersonal skillsBenefitsWe offer a competitive benefits package including health insurance, retirement savings plan,...

  • Revenue Specialist

    6 days ago

    Newport Beach, California, United States PIMCO Full time

    The Billing Analyst role at PIMCO offers a unique blend of challenge and opportunity. As a key member of our Client Billing department, you will play a vital role in calculating, invoicing, and collecting revenue from clients. Your attention to detail, organizational skills, and ability to work under pressure will enable you to deliver high-quality results,...

  • Sales and Revenue Growth Representative

    1 day ago

    Osage Beach, Missouri, United States Spectrum Full time

    Job Overview:We are seeking a highly motivated Sales and Revenue Growth Representative to join our team. In this role, you will be responsible for selling primary and ancillary communications solutions to small and medium-sized businesses within a specified territory.About the Job:The ideal candidate will have a strong sales background and excellent...

  • Revenue Balance Specialist

    7 days ago

    Deerfield Beach, Florida, United States Blue Sky Hospitality Solutions Full time

    Job Overview:The Night Auditor position at Blue Sky Hospitality Solutions is an exciting opportunity for a detail-oriented individual to join our team. As a Night Auditor, you will play a critical role in maintaining the financial accuracy of our hotel's operations. Responsibilities:Balance and reconcile room revenue, including charges, reports, and...

  • NDT Level II Inspection Specialist

    3 weeks ago

    Newport Beach, United States Volt Workforce Solution Full time

    Job OverviewVolt Workforce Solutions is currently seeking a skilled NDT Level II Inspection Specialist to join our team in Newport Beach, CA.

  • Epic HB Analyst

    5 months ago

    Daytona Beach, United States Resourcing HQ Full time

    We are seeking a detail-oriented and motivated individual to join our team as an Epic HB Analyst. In this role, you will be responsible for supporting the configuration, testing, and optimization of the Epic HB module, ensuring accurate and timely processing of hospital billing claims. The ideal candidate will have a strong understanding of hospital billing...

  • InHouse Sales Specialist II

    3 weeks ago

    Myrtle Beach, South Carolina, United States Bluegreen Vacations Full time

    Job Title: InHouse Sales Specialist IIEstimated Salary:$45,000 - $60,000 per yearCompany OverviewBluegreen Vacations is a leading provider of vacation experiences, offering a unique blend of resort ownership and travel services. Our company prides itself on creating memorable vacations for our members and guests.Job DescriptionWe are seeking an experienced...

  • Business Application Specialist II

    3 weeks ago

    Virginia Beach, United States City of Virginia Beach Full time

    The City of Virginia Beach is hiring for a Business Application Specialist II (BAS) in the Housing and Neighborhood Preservation Department (HNP). The BAS will be a member of a joint technology services team providing primary technology support for the department. The department's primary goal is to connect people to resources, helping them maintain or...

  • Corrado Properties | Revenue Specialist

    6 days ago

    palm beach county, United States Corrado Properties Full time

    Revenue Management CoordinatorLocation: Based at the corporate office in West Palm Beach, Florida, or on property in Moab, Utah.Property: 55-Room HotelOverview:We are seeking a motivated and detail-oriented Revenue Management Coordinator to optimize revenue opportunities for our 55-room property in Moab, Utah. The ideal candidate will have a strong...

  • Motorsports Revenue Growth Specialist

    3 weeks ago

    Daytona Beach, Florida, United States NASCAR Full time

    NASCAR Consumer Sales Account Executive Job DescriptionWe are seeking a positive and motivated sales professional to drive revenue at the highest level in motorsports. As a NASCAR Consumer Sales Account Executive, you will be tasked with generating ticket revenue across various business units.Key Responsibilities:Develop and execute new business campaigns to...

  • Market Manager II Transformation Expert

    3 weeks ago

    Miami Beach, Florida, United States Amerantbank Full time

    Amerant Bank is committed to delivering a customer experience that's unparalleled in the industry. As a Market Manager II, you will play a pivotal role in creating this energy and excitement around our products, providing the right solutions and getting them into customers' hands.Key Responsibilities:Operational Excellence: Ensure seamless day-to-day banking...