Reimbursement Specialist - Physician Billing

Cedars-Sinai; Austin (TX); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health care

Paid time off

403(b)

Job summary

Cedars-Sinai is seeking a Revenue Cycle Specialist II to support Patient Financial Services. The role involves reviewing and resubmitting claims, following up on accounts, and ensuring data accuracy across billing systems. Strong customer service and problem-solving skills are essential.

The position offers remote work options for approved states, with emphasis on accuracy, timely follow-up, and adherence to policies. Experience with payors and privacy guidelines is preferred.

Qualifications

• High school diploma or GED required.
• Experience with hospital or professional billing and/or collections preferred; 2+ years.
• Strong English reading/writing and verbal communication.
• Familiarity with Medicare, Medi-Cal or other payors is a plus.
• Proficiency with MS Office; knowledge of CS-specific systems preferred.

Responsibilities

• Review and resubmit claims to third party payors and perform account follow-up.
• Update information on accounts and monitor payment timelines.
• Communicate with patients and payors to resolve discrepancies.
• Enter and maintain accurate data in billing systems and queues.
• Provide back-up support and assist teammates as needed.

Skills

Data entry

MS Office proficiency

Communication skills

HIPAA knowledge

Customer service

Education

High school diploma or GED

Tools

CS-Link

Emdeon

Web/Vs

Job description

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.

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.

Revenue Cycle Specialist II

• 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 escalating 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.

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

Qualifications

Requirements

• High school diploma or GED required.
• A minimum of two years' experience of hospital or professional billing and/or collections experience required. Four years' experience or more preferred.
• Ability to read, write, understand and speak effectively in English.
• Experience with Medicare, Medi-Cal and other commercial payors a plus.
• Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.
• Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.
• Basic understanding of HIPAA and other privacy information guidelines preferred.
• Ability to perform relevant business math (including addition, subtraction, multiplication and division).
• 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 and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.
• Professional and courteous demeanor.

Experience we are seeking:

• Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.
• Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.
• Basic understanding of HIPAA and other privacy information guidelines preferred.
• Ability to perform relevant business math (including addition, subtraction, multiplication and division).
• 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 and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.
• Professional and courteous demeanor.

Why Work Here?

Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished 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.