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. We also were awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.
This Revenue Cycle Specialist III works under general supervision and follows established practices, policies, and guidelines of Revenue Cycle Management supporting Professional Fee billing and collections. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient accounts, reviewing and processing credits, posting payments, and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in CS-Link functions and multi-specialty areas of the revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections and sound interpretation of same. Incumbents are expected to research, analyze and resolve complex cases and problem accounts with minimal assistance. Serves as a technical resource (subject matter expert) to others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in other revenue cycle functions and provide back-up coverage.
Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to client inquiries and concerns, and following up on accounts to ensure resolution. Responds to patient, insurance company, and other authorized third-party inquiries, including return of calls and necessary research.
Makes recommendations for improved operational processes to ensure timely and accurate billing information from client groups. Maintains current CPT and ICD-10 knowledge of assigned areas. Creates manual invoices and follows up for payment. Directs billing to the correct entity. Distributes payments to avoid inaccurate billing to patients.
Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate charge capture, enhancing third-party reimbursement and minimizing audit liability.
Attends huddles and participates in group problem-solving. Escalates fee schedule discrepancies and system errors.
Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas.
Cedars-Sinai is committed to diversity, equity, inclusion, and outstanding patient care and offers competitive salaries and benefits.
High School Diploma or GED required. College level courses in Finance, Business or Health Insurance preferred. Minimum of 4 years professional and/or hospital revenue cycle billing experience required. Professional billing experience highly preferred. Experience following up on claims or appealing denied claims in Anesthesia is a plus. Physician billing experience. Basic computer and navigation skills; experience with MS Office, Epic, and CS-Link preferred. Working knowledge and understanding of regulatory and CSHS policies and procedures preferred. Basic understanding of HIPAA and privacy guidelines preferred. Ability to perform relevant business math. Good verbal and written communication skills. Keyboard and data entry proficiency. Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time. Ability to prioritize and organize work to complete assignments timely and accurately. Professional and courteous demeanor.
Outstanding benefit package including healthcare, paid time off, and 403(B) retirement plan. Competitive salaries and health and dental insurance. Commitment to a dynamic, inclusive work environment. Recognized as one of America’s Best Hospitals by U.S. News & World Report. Awarded Consumer Choice Award 19 years in a row for highest-quality medical care. Awarded Advisory Board Company’s Workplace of the Year. Equal Employment Opportunity employer and inclusive workplace.
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$52,118 - $80,835
Remote work allowed
Yes
Posted
3 weeks ago