Revenue Cycle Specialist IV

4 days ago


Los Angeles, California, United States Cedars-Sinai Full time
Job Description

As a Revenue Cycle Specialist IV at Cedars-Sinai, you will play a critical role in ensuring the smooth operation of our patient financial services department. Your expertise in outpatient billing and collections will be instrumental in resolving complex cases and problem accounts with minimal assistance.

Key Responsibilities:

  • Review and submit claims to third-party payors, performing account follow-up activities and updating information on accounts.
  • Apply expert knowledge of regulatory requirements, payor contracts, and CSHS policies governing billing and collections.
  • Research, analyze, and resolve complex cases and problem accounts with minimal assistance.
  • Serve as a technical resource (subject matter expert) to others and may act in the absence of the lead and/or supervisor.
  • Provide back-up coverage in other revenue cycle functions as needed.

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.

About Cedars-Sinai:

Cedars-Sinai is an EEO employer and does not unlawfully discriminate on the basis of race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition, marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status, or any other basis protected by federal or state law.



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