Revenue Cycle Specialist II
3 weeks ago
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 hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an excellent benefits package that includes Health Care, paid time off and a 403(b). 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 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.
QualificationsRequirements:
- 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.
- 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.
About UsCedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
About the TeamCedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.
Req ID : HRC1268782
Working Title : Revenue Cycle Specialist II
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 : $22.07 - $33.11
-
Revenue Cycle Specialist II
3 weeks 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 Specialist II
2 weeks ago
LOS ANGELES, United States CEDARS-SINAI Full timeJob DescriptionAlign 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...
-
Revenue Cycle Specialist II
3 weeks ago
LOS ANGELES, California, 90071, Los Angeles County, CA, 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 Specialist II
3 weeks ago
Los Angeles, California, 90071, Los Angeles County, CA, United States CEDARS-SINAI Full timeJob DescriptionAlign 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 Billing Associate II
7 days ago
Los Angeles, United States Pediatric Management Group Full timeJob DescriptionJob DescriptionThe Billing Associate II position is responsible for assuring the timely submission/resubmission of a clean and accurate claim (electronic & paper), which includes reviewing all claim information and attaching supporting documentation as required by payer prior to bill submission.Claim Reviews:Paper ClaimsReview charge tickets...
-
Revenue Cycle Billing Associate II
23 hours ago
Los Angeles, United States Pediatric Management Group Full timeJob DescriptionJob DescriptionThe Billing Associate II position is responsible for assuring the timely submission/resubmission of a clean and accurate claim (electronic & paper), which includes reviewing all claim information and attaching supporting documentation as required by payer prior to bill submission.Claim Reviews:Paper ClaimsReview charge tickets...
-
Revenue Cycle Specialist III
3 weeks ago
LOS ANGELES, United States CEDARS-SINAI Full timeJob DescriptionAlign 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 Specialist III
3 weeks ago
LOS ANGELES, United States CEDARS-SINAI Full timeJob DescriptionWould you like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? 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...
-
Revenue Cycle Analyst
4 weeks ago
LOS ANGELES, United States CEDARS-SINAI Full timeJob DescriptionThe Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends. This will require direct working relationships with management and key staff members, in addition to key members of Finance and Medical Network and Medical Center Departments. The primary duties of this role include:Analyzing trends to...
-
Revenue Cycle Associate Ii
2 days ago
Los Angeles, United States Pediatric Management Group Llc Full time**Primary Purpose of the Position**: The Revenue Cycle Associate II is responsible for working accounts to maximize cash collected. The position also performs a variety of duties which may include answering incoming telephone calls, documenting insurance information, verification of eligibility, and billing/appealing claims to the various insurance carriers....
-
Revenue Cycle Associate Ii
2 days ago
Los Angeles, United States Pediatric Management Group Llc Full time**Primary Purpose of the Position**: The Revenue Cycle Associate II is responsible for working accounts to maximize cash collected. The position also performs a variety of duties which may include answering incoming telephone calls, documenting insurance information, verification of eligibility, and billing/appealing claims to the various insurance carriers....
-
Revenue Cycle Specialist IV
3 weeks ago
LOS ANGELES, 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 Associate II
23 hours ago
Los Angeles, United States Pediatric Management Group Full timeJob DescriptionJob DescriptionThe Revenue Cycle Associate II is responsible to work accounts to maximize cash collected. Position also performs a variety of duties which may include answering in-coming telephone calls, documenting insurance information, verification of eligibility and billing/appealing claims to the various insurance carriers. This position...
-
Los Angeles, United States The Hire Mark Full timeThe Hire Mark is recruiting a Billing Manager for a Home Health Agency in Los Angeles. This is a full time role with benefits. **Position Summary**: **Key Responsibilities**: **Billing Operations**: Supervise and lead a team of billing specialists responsible for processing claims and invoices. Ensure accurate coding and submission of all home health...
-
Revenue Cycle Specialist IV
3 weeks ago
LOS ANGELES, United States CEDARS-SINAI Full timeJob DescriptionAlign 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 Specialist III
3 weeks ago
Los Angeles, California, 90071, Los Angeles County, CA, United States CEDARS-SINAI Full timeJob DescriptionAlign 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 Specialist III
3 weeks ago
Los Angeles, California, 90071, Los Angeles County, CA, United States CEDARS-SINAI Full timeJob DescriptionWould you like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? 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...
-
Revenue Cycle Specialist IV
3 weeks 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 Manager
4 days ago
Los Angeles, United States St. Anne's Full time**CLICK ON THE LINK TO APPLY**: **Join Our Team: Revenue Cycle Manager (Finance Department) - Making a Difference in Youth's Lives** Are you a passionate leader looking for more than just a job? At St. Anne's Family Services, we strive to build safe, nurturing, and resilient families for generations to come. We believe in disrupting cycles of poverty and...
-
Revenue Cycle Specialist IV
3 weeks ago
LOS ANGELES, United States CEDARS-SINAI Full timeJob DescriptionAlign 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....
