[Hiring] Revenue Cycle Specialist I @Cedars-Sinai

Role Description

Under general supervision and following established practices, policies, and guidelines, provides billing support to Patient Financial Services, performing duties which include:

• Reviewing and submitting claims to third party payors.
• Performing account follow-up activities.
• Updating information on accounts.

Positions at this level require a basic knowledge of assigned area, and general understanding of department functions and the revenue cycle. Incumbents are expected to organize, prioritize and perform work in a timely manner within established guidelines, practices and procedures. This position may be cross-trained in other office functions and provide back-up coverage.

Duties include:

• Developing and maintaining excellent working relationships with Cedars-Sinai Medical Network, Primary Care Clinical Departments, external clients, and patients.
• Identifying, analyzing, resolving, and responding to client inquiries, concerns, and issues.
• Following up on accounts to ensure resolution.
• Serving as liaison between CSRC Services and Clinical Departments in the coordination of Department-Specific Responsibilities.
• Billing through charge capture to maximize reimbursement.
• Responding to patients and guiding them through external billing processes, such as CSI, Quest, or other outside entities.
• Responding to insurance companies and other authorized third-party inquiries.
• Keeping apprised of rules and regulations affecting coding and reimbursement by maintaining current CPT and ICD-10 knowledge.
• Reviewing accounts on OCS report with providers to identify balances approved or declined for further collection activity.
• Initiating calls to patients to collect on unresolved balances if approved.
• Setting notifications in OCS report format for declined accounts.
• Escalating fee schedule discrepancies and system errors.
• Participating in department meetings and providing feedback to management on improving department processes.
• Adhering to instructions, verbal and written, to achieve desired results.
• Adhering to documentation standards of the department and properly using activity codes.
• Correctly entering data in fields and maintaining acceptable levels of speed and accuracy.
• Effectively monitoring assigned work queues and workload, ensuring resolution of accounts in a timely and accurate manner.
• Taking initiative on issues and/or problems by notifying the supervisor.
• Processing incoming correspondence, based on reason code, timely and accurately.
• Ensuring information on the account is complete and accurate.
• Adhering to payment timeline protocol and assisting other team members with resolution of accounts when needed.
• Demonstrating detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems.

*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*

Qualifications

• High school graduate or GED required.
• College level courses in finance, business, or health insurance preferred.
• A minimum of 1 year of hospital or professional billing and/or collections experience required.
• Commercial collections experience a plus.

Benefits

• Outstanding employee benefits including health and vacation.
• 403(b) retirement plan.
• Commitment to hiring the best, most passionate employees.
• Dynamic, inclusive environment that fuels innovation.