Revenue Cycle Specialist IV
3 months ago
What you will be doing in this role:
Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, 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 and provide back-up coverage:
- Independently responds timely and accurately to all requests. Interacts professionally and courteously with employees and internal and external customers.
- Effectively communicates, in writing and verbally, with employees and internal and external customers. Actively 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. 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. Written communication (email, etc.) is appropriate for level being addressed.
- 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. Participates in continuing education activities and promotes a positive and productive working environment. Engages in performance improvement activities within the department. Able to multi-task effectively and is flexible with priorities. Adapts and modifies practices and routines when advised of need to do so, with a positive attitude. Takes initiative independently. Self-directed and rarely needs to consult management or co-workers. Volunteers and accepts special projects and assignments.
- Applies detailed knowledge of and follows all hospital and department policies, procedures (e.g., PHI). department specific systems and uses them effectively and efficiently. Participants in ongoing education to improve skill.
- Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Manages workload and priorities to meet deadlines. Takes initiative on issues and/or problems achieving desired results with minimal instruction. Notifies supervisor of issues and/or problems outside scope of authority per department standard.
- Understands and follows all applicable job aids and processes for unit. Applies “TCR” Touch It, Claim It, Resolve It.
- Adheres to documentation standards of the department. Properly uses activity codes. Notes are clear and concise. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.
- Demonstrates expert knowledge of payor practices, policies and procedures as well as the initiative and ability to problem solve in accomplishing departmental objectives. Monitors payment status of assigned accounts. Independently initiates dialogue with payor and/or patient to ensure resolution of accounts (e.g., responds to additional documentation requests, refers denied accounts to supervisor for advisement on appropriate action). Effectively and efficiently manages account inventory and ensures timely resolution and closure of accounts
Qualifications
Requirements:
- A minimum of five years of professional billing or collection experience required.
- Active CPC highly preferred. A minimum of 5 years of professional coding highly preferred.
- High school diploma or GED required. College level courses in finance, business or health insurance preferred.
- Strong English proficiency, including using proper spelling and grammar, and solid verbal communication skills.
- Business math skills including ability to add, subtract, multiply and divide accurately.
Req ID : 1466
Working Title : Revenue Cycle Specialist IV
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 : $26.31 - $40.78
-
Revenue Cycle Specialist IV
4 days ago
Los Angeles, California, United States Cedars-Sinai Full timeAbout the RoleCedars-Sinai is seeking a highly skilled Revenue Cycle Specialist IV - Anesthesia to join our team. As a key member of our revenue cycle department, you will play a critical role in ensuring the accurate and timely processing of anesthesia-related claims and payments.Key ResponsibilitiesUnder general supervision, review and submit claims to...
-
Revenue Cycle Specialist IV
2 months ago
Los Angeles, United States Cedars-Sinai Full time**Job Description** What you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc....
-
Revenue Cycle Specialist IV
3 days ago
Los Angeles, United States Cedars-Sinai Full timeJob Description What you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc....
-
Revenue Cycle Specialist IV
6 days ago
Los Angeles, United States Cedars-Sinai Medical Center Full timeWhat you will be doing in this role:Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third part Revenue, Cycle, Specialist, Manufacturing, Healthcare, Billing
-
Revenue Cycle Specialist IV
4 weeks ago
Los Angeles, United States Cedars-Sinai Medical Center Full timeAlign yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporations Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were Revenue, Cycle, Specialist, Healthcare, Patient
-
Revenue Cycle Specialist IV
3 months ago
Los Angeles, California, 90071, Los Angeles County, CA, United States CEDARS-SINAI Full timeJob DescriptionWhat you will be doing in this role:Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc....
-
Revenue Cycle Specialist IV
2 months ago
Los Angeles, United States Cedars-Sinai Full time**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. We also were awarded the Advisory Board Company’s Workplace of the Year. Join us! Discover why U.S....
-
Revenue Cycle Specialist IV
3 months ago
Los Angeles, United States Cedars-Sinai Full time**Job Description** Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporations Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Companys Workplace of the Year. Join us! Discover why U.S. News...
-
Senior Revenue Cycle Analyst
2 weeks ago
Los Angeles, California, United States Cedars-Sinai Medical Center Full timeAbout Cedars-Sinai Medical CenterJoin a prestigious institution recognized for its outstanding healthcare services. Cedars-Sinai has consistently been honored with the National Research Corporation's Consumer Choice Award for nearly two decades, reflecting our commitment to delivering exceptional medical care.Position OverviewThe Revenue Cycle Specialist IV...
-
Revenue Cycle Specialist
5 days ago
Los Angeles, California, United States CEDARS-SINAI Full timePosition OverviewKey Responsibilities:The Revenue Cycle Specialist plays a crucial role in evaluating patterns to pinpoint discrepancies and generate analytical reports to assess these findings. This position entails consolidating data and insights, preparing presentation materials, and offering recommendations to oversee potential opportunities and risks....
-
Revenue Cycle Specialist
5 days ago
Los Angeles, California, United States CEDARS-SINAI Full timePosition OverviewKey Responsibilities:The Revenue Cycle Specialist plays a crucial role in evaluating patterns to pinpoint discrepancies and generate analytical reports to assess these findings. This position entails consolidating data and insights, preparing presentation materials, and offering recommendations to oversee potential opportunities and risks....
-
Revenue Cycle Specialist
5 days ago
Los Angeles, California, United States CEDARS-SINAI Full timePosition OverviewKey Responsibilities:The Revenue Cycle Specialist plays a crucial role in evaluating patterns to pinpoint discrepancies and generate analytical reports to address them. This position entails consolidating data and insights, crafting presentation materials, and proposing strategies to oversee potential opportunities and risks. Additional...
-
Revenue Cycle Specialist
5 days ago
Los Angeles, California, United States CEDARS-SINAI Full timePosition OverviewKey Responsibilities:The Revenue Cycle Specialist plays a crucial role in evaluating patterns to pinpoint discrepancies and generate analytical reports to assess these findings. This position entails consolidating data and insights, preparing presentation materials, and offering recommendations to oversee potential opportunities and risks....
-
Senior Revenue Cycle Analyst
2 weeks ago
Los Angeles, California, United States Cedars-Sinai Medical Center Full timeJoin a Leader in Healthcare Excellence Cedars-Sinai Medical Center is renowned for its commitment to delivering top-tier medical services. With a legacy of being recognized by the National Research Corporation for 19 consecutive years, we pride ourselves on our quality of care. Role Overview The Revenue Cycle Specialist IV plays a crucial role in ensuring...
-
Revenue Cycle Specialist IV
3 weeks ago
Los Angeles, United States Cedars-Sinai Full timeJob Description What you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc....
-
Revenue Cycle Lead Specialist
2 weeks ago
Los Angeles, California, United States Vaco Full timeVaco is in search of a Senior Revenue Operations Manager who will be instrumental in steering and enhancing the revenue cycle for this esteemed organization. This role encompasses the supervision of billing, collections, and accounts receivable processes to guarantee precise and prompt revenue acknowledgment. The ideal candidate will possess robust...
-
Revenue Cycle Specialist IV
3 months ago
Los Angeles, United States Cedars-Sinai Full timeJob 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. We also were awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes...
-
Revenue Cycle Operations Specialist
3 days ago
Los Angeles, California, United States Prosum Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Operations Specialist to join our team at Prosum. As a key member of our revenue cycle team, you will be responsible for designing, developing, and implementing revenue cycle information systems to ensure efficient and effective financial operations.Key ResponsibilitiesCustomer Service: Provide...
-
Revenue Cycle Specialist II
3 months ago
LOS ANGELES, United States CEDARS-SINAI Full timeJob DescriptionWhat will I 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...
-
Revenue Cycle Operations Specialist
3 days ago
Los Angeles, California, United States Rose International Full timeJob SummaryRose International is seeking a highly skilled Revenue Cycle Operations Specialist to join our team. As a key member of our healthcare IT team, you will be responsible for designing, developing, and implementing revenue cycle information systems to optimize financial performance and patient care.Key ResponsibilitiesRevenue Cycle System Design and...
