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Revenue Cycle Analyst II

2 months ago

Torrance, California, United States CEDARS-SINAI Full time
Position Overview

Key Responsibilities

  • Assist in the management of billing and collections for both Commercial and Government accounts, focusing on Insurance Follow Up and Accounts Receivable.
  • Evaluate and submit claims to various third-party payers, conduct follow-up on accounts, and ensure patient registration is up-to-date.
  • Exhibit advanced knowledge and expertise in specialized tasks and diverse aspects of the revenue cycle.
  • Investigate, assess, and resolve intricate cases and challenging accounts autonomously.
  • Serve as a technical advisor to colleagues and may provide support across different revenue cycle roles.

This role involves overseeing billing, appeals, and collections associated with physician reimbursements. You will be tasked with monitoring and processing accounts while ensuring the precision of your work. Collaboration within the team is crucial to meet departmental objectives.

Qualifications

Essential Requirements:

  • High school diploma or equivalent required.
  • Fluency in English (reading, writing, speaking).
  • A minimum of three years of experience in professional billing and collections, with knowledge of CMS1500 forms.

Preferred Experience:

  • Familiarity with medical terminology and coding systems (ICD, CPT, HCPCS, Modifiers).
  • Experience with software such as MS Office, Web/Vs, Availity, and CS-Link is advantageous.
  • Solid understanding of regulatory guidelines and organizational policies.
  • Capability to manage multiple responsibilities in a dynamic work environment.
  • At least three years of experience in both Commercial and Government billing.
  • Professional and approachable communication skills.