Revenue Cycle Specialist II

3 weeks ago


torrance, 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

  • TORRANCE, United States CEDARS-SINAI Full time

    Job DescriptionUnder 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...


  • Torrance, California, 90503, Los Angeles County, CA, United States CEDARS-SINAI Full time

    Job DescriptionUnder 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...


  • TORRANCE, United States CEDARS-SINAI Full time

    Job DescriptionWhat 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...


  • Torrance, California, 90503, Los Angeles County, CA, United States CEDARS-SINAI Full time

    Job DescriptionWhat 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...


  • TORRANCE, United States CEDARS-SINAI Full time

    Job DescriptionWhat You Will 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,...


  • Torrance, California, 90503, Los Angeles County, CA, United States CEDARS-SINAI Full time

    Job DescriptionWhat You Will 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,...


  • Torrance, United States Century Group Full time

    Job DescriptionJob DescriptionOur client is looking for a temporary Senior Revenue Accountant for a 3-month assignment. Key responsibilities include the appropriate accounting of revenues, analytical reviews, and internal reporting. Exact compensation may vary based on skills, experience and location.  Expected starting base salary $40 to $41 per hour.Job...

  • Materials Handler II

    3 weeks ago


    Torrance, United States PDS Defense, Inc. Full time

    PDS Defense, Inc is seeking a Materials Handler II in Torrance, CA. Job Responsibilities: Responsible for the overall preparation of kits prior to the Production floor which includes all material transactions, material movement, storage, and inventory - storage practices. Sort, counts and checks raw materials, finished and semi-finished parts. Handles raw...


  • Torrance, United States Compex Legal Services Full time

    Job DescriptionJob DescriptionCompex Legal Services is looking to hire a full-time Accounts Payable Specialist. This key position reports to Accounts Payable Supervisor and will help with ensuring all payments are made to vendors and more!Who we are:Compex is the nation’s leading record retrieval provider. We serve thousands of law firms and the largest...

  • Patient Account Rep

    2 weeks ago


    Torrance, United States Torrance Memorial Medical Center Full time

    Description Responsible for implementation of compliant Revenue Cycle procedures including verification of insurance eligibility and benefits, obtaining authorizations for care, billing and collection of patient revenues, and transmission of OASIS and HIS assessments.Core Competencies Verifies patient's insurance benefits from the payor, for services to be...

  • Patient Account Rep

    3 days ago


    Torrance, United States Torrance Memorial Medical Center Full time

    Description Responsible for implementation of compliant Revenue Cycle procedures including verification of insurance eligibility and benefits, obtaining authorizations for care, billing and collection of patient revenues, and transmission of OASIS and HIS assessments.Core Competencies Verifies patient's insurance benefits from the payor, for services to be...


  • Torrance, United States Torrance Memorial Medical Center Full time

    Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided. Core Competencies Collects all required data elements to complete the intake process within the hospital revenue cycle system. Utilizes hospital...

  • Patient Access Rep I

    3 hours ago


    Torrance, United States Torrance Memorial Medical Center Full time

    Description Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided.Core Competencies Collects all required data elements to complete the intake process within the hospital revenue cycle system. Utilizes...

  • Patient Access Rep I

    2 weeks ago


    Torrance, United States Torrance Memorial Medical Center Full time

    Description Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided.Core Competencies Collects all required data elements to complete the intake process within the hospital revenue cycle system. Utilizes...


  • Torrance, United States Torrance Memorial Medical Center Full time

    DescriptionUnder direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided.Core CompetenciesCollects all required data elements to complete the intake process within the hospital revenue cycle system.Utilizes...


  • Torrance, California, United States Herbalife Full time

    Overview: THE ROLE:  The Principal II, Solutions Architect is responsible for: Technology evaluation & Defining solution architecture: Demonstrating strong grasp of software technology architect skills, strong problem solving with critical thinking decision making skills to analyze sophisticated situations designing elegant solutions. You will be a core...


  • Torrance, California, United States Herbalife Full time

    Overview: THE ROLE:    The Principal II, Adobe Architect is responsible for: Technology evaluation and Defining solution architecture: Demonstrating strong grasp of software technology architect skills, strong problem solving with critical thinking decision making skills to analyze sophisticated situations crafting elegant solutions. You will be...


  • Torrance, United States WD-40 COMPANY Full time

    Overview Are you looking for a challenging and rewarding career in Salesforce? Do you have experience in deploying, enhancing, and managing enterprise-level Salesforce solutions? If so, you might be the perfect candidate for the Salesforce Solutions Engineer position at WD-40 Company. The person in this role will be responsible for deployments,...


  • Torrance, United States LISI Full time

    LISI AEROSPACE is ranked 60th in the global aerospace value chain and specializes in the design and manufacture of high-tech metal components to enhance aircraft safety and performance. Active since 1950 in the fastener market (no. 3 worldwide), LISI AEROSPACE has been a recognized player in metal components for aircraft engines and airframes since 2011....


  • Torrance, CA 90504, USA, United States Torrance Memorial Medical Center Full time

    Description Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided.Core CompetenciesCollects all required data elements to complete the intake process within the hospital revenue cycle system.Utilizes...