Revenue Cycle Specialist I (Remote)

Cedars-Sinai Medical Center; Los Angeles (CA); À distance; USD 45 000 - 65 000; Plein temps

Avantages offerts par ce poste

Health benefits

Vacation plan

403(b) retirement plan

Résumé du poste

Cedars-Sinai in Los Angeles seeks a Billing Support Specialist to handle patient financial services and claims submissions. The role involves reviewing accounts, following up on balances, and coordinating with departments to ensure accurate billing and timely reimbursement.

The ideal candidate has 1 year of hospital billing experience, knowledge of CPT/ICD-10, and strong attention to detail. The position is on-site with comprehensive benefits.

Qualifications

• High school diploma or GED is required; college courses in finance or health insurance preferred.
• Minimum 1 year of hospital or professional billing/collections experience required.
• Commercial collections experience is a plus.

Responsabilités

• Develops and maintains relationships with Cedars-Sinai Medical Network and patients; addresses inquiries and resolves accounts.
• Coordinates billing through charge capture to maximize reimbursement; explains external processes to patients.
• Reviews accounts with providers to identify balances for collections; initiates patient contact as needed.
• Monitors work queues and ensures timely, accurate resolution; escalates issues to supervisor as needed.
• Maintains accurate data entry and uses core patient accounting systems effectively.

Connaissances

Billing & collections

Customer service

Healthcare finance

CPT ICD-10 knowledge

Formation

High school diploma or GED

Outils

OCS system

Billing software

Description du poste

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 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. 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 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 account, etc.. 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:

• Develops and maintains excellent working relationships with Cedars-Sinai Medical Network, Primary Care Clinical Departments, external clients, and patients. Performs duties that include identifying, analyzing, resolving, and responding to our client’s inquiries, concerns, issues, and following up on accounts to ensure resolution.
• Serves as liaison between CSRC Services and Clinical Departments in the coordination of Department-Specific Responsibilities Additional primary duties and responsibilities that are only performed in the specific department(s) below: Department Duties and Responsibilities billing through charge capture to maximize reimbursement. Responds to patients and guide them through external billing processes, such as CSI, Quest, or other outside entities. Also responds to insurance companies, and other authorized third-party inquiries, including the return of calls and research needed to bring accounts to final resolution. Keeps apprised of rules and regulations affecting coding and reimbursement by maintaining current CPT and ICD-10 knowledge of assigned areas for accurate assessment of charge review.
• Review accounts on OCS report with providers to identify balances approved or declined for further collection activity. If approved, initiate calls to patients to collect on unresolved balances. If declined, set notification in OCS report format to ensure the account is routed to the appropriate work queue for final resolution. Escalation of fee schedule discrepancies and system errors.
• 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 calling them out to supervisor.
• 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 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.

Why work here?

Beyond outstanding employee benefits including health and 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 commitment to creating a dynamic, inclusive environment that fuels innovation.