Revenue Cycle Specialist II

1 day ago


Torrance, California, United States CEDARS-SINAI Full time
Job Summary

Cedars-Sinai Medical Center is seeking a highly skilled Revenue Cycle Specialist II to join our team in Patient Financial Services. As a key member of our revenue cycle operations team, you will play a critical role in ensuring the accurate and timely billing and collection of patient accounts.

Key Responsibilities:

  • Review and submit multi-specialty claims to third-party payors, ensuring compliance with regulatory requirements and payor contracts.
  • Perform account follow-up activities, including updating patient registration and resolving complex cases and problem accounts.
  • Provide technical expertise and support to colleagues, serving as a subject matter expert in revenue cycle operations.
  • Collaborate with management to ensure the integrity of work performed and contribute to the achievement of departmental goals.
  • Stay up-to-date with regulatory changes and industry developments, applying this knowledge to improve billing and collection processes.

Requirements:

  • High school graduate or GED required.
  • Ability to read, write, understand, and speak English effectively.
  • A minimum of three years of professional/physician billing and/or collection experience, with a strong background in CMS1500 and insurance carrier procedures.
  • Expert knowledge of medical terminology and coding, including ICD, CPT, HCPCS, modifiers, procedure, bill type, diagnosis, and revenue codes.
  • Experience with MS Office, Web/Vs, Availity, and CS-Link preferred.
  • Basic understanding of HIPAA and other privacy information guidelines.
  • Ability to perform business math and handle multiple tasks in a fast-paced, high-volume environment.
  • Minimum 3 years' experience in Commercial and Government billing and follow-up, with a strong understanding of regulations for Commercial Ins, CMS, and Medi-Cal.

Working Conditions:

  • Work in a team environment to fulfill the mission and goals of the Department.
  • Collaborate with colleagues to achieve departmental objectives.
  • Stay up-to-date with regulatory changes and industry developments.


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