[Hiring] Revenue Cycle Specialist III – Billing and Collections @Cedars-Sinai

Role Description

Under general supervision and following established practices, policies, and guidelines, provides payments indexing and posting to Patient Financial Services, performing duties which may include:

• Preparing, indexing, and posting payments
• Performing daily reconciliation
• Processing payment transfers
• Reviewing and submitting claims to payors
• Performing account follow-up activities
• Updating information on patient accounts

Position at this level requires 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
• Ability to understand, interpret, and explain payor contracts and CSMC Billing and Collections Policy and Practices
• Capability to research, analyze and resolve complex cases and problem accounts with minimal assistance
• Ability to submit appeals and collect monies relative to physician reimbursement
• Service as a technical resource (subject matter expert) to others
• Possibility to assist other team members
• Cross-training in other Revenue Cycle functions and providing back-up coverage

In this role you will demonstrate:

• Independent responses that are timely and accurate to all requests
• Professional and courteous interaction with employees and internal and external customers
• Basic knowledge of accounting principles and healthcare billing and collection practices
• Detailed knowledge of medical terminology and coding (ICD, CPT, HCPCS, procedure, bill type, diagnosis and revenue codes)
• Understanding of regulatory and CSHS policies and procedures governing billing and collections
• Effective monitoring of assigned work queues and workload
• Adherence to documentation standards of the department
• Accurate billing of multispecialty claims within established timelines
• Understanding of payor contracts
• Successful completion of PRMPT 1
• Ability to understand and analyze different bill types and their purpose
• Ability to perform relevant mathematical calculations
• Computer competency including MS Office, Web/Vs, Emdeon and CS-Link
• Excellent verbal and written communication
• Professional and courteous demeanor
• Detail and problem-solving aptitude
• Ability to prioritize, organize work, and complete assignments in a timely and accurate manner
• Typing speed of 40 to 45 wpm (45 to 50 wpm preferred)
• Demonstrated ability to handle multiple tasks frequently and with short timelines
• Ability to work and communicate well with others
• Demonstrated customer service skills

Qualifications

• Advanced knowledge in specialized functions
• Full understanding of the Revenue Cycle
• Strong Customer Service skills
• Analytic and problem-solving skills
• Detail-oriented with a problem-solving aptitude

Requirements

• Ability to understand and analyze different bill types
• Computer competency including MS Office, Web/Vs, Emdeon and CS-Link
• Typing speed of 40 to 45 wpm (45 to 50 wpm preferred)

Benefits

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