Revenue Cycle Specialist II
5 days 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. Join us 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 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 this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents work independently and have strong customer service, analytic and problem-solving skills, and are able to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents may assist other team members. This position may be cross-trained in other revenue cycle functions and provide back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and employee work comp follow-up and duties include:
- Participates in department meetings and provides feedback to management on how to improve department processes. Adheres to instructions, verbal and written, to achieve desired results.
- Adheres to documentation standards of the department and properly uses activity codes. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.
- Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Takes initiative on issues and/or problems by advancing them to supervisor.
- Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.
- Processes incoming correspondence, based on reason code, timely and accurately.
- Ensures information on the account is complete and accurate. Adheres to payment timeline protocol.
- Adheres to payment timeline protocol and assists other team members with resolution of accounts when needed.
- Demonstrates detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems and uses them effectively and efficiently.
Requirements:
- High school diploma or GED required. College level courses in finance, business of health insurance preferred.
- A minimum of two years' experience of hospital or professional billing and/or collections experience required. Four years' experience or more preferred. Medicare Claim Edits and employee work comp follow-up experience preferred.
Why work here?
Beyond outstanding employee benefits (including health, vision, dental and life and insurance) we take pride in hiring the best employees. Our accomplished and compassionate staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.
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