Revenue Cycle Specialist II (Physician Billing)

Cedars-Sinai Medical Center; Torrance (CA); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Paid time off

403(B) retirement plan

Job summary

Cedars-Sinai Medical Center in Torrance, California, is seeking a Revenue Cycle Specialist II (Physician Billing) to provide billing and collections support. This role requires a minimum of three years experience in physician billing and an ability to handle multiple tasks in a fast-paced environment. The candidate will be responsible for submitting appeals, monitoring accounts, and ensuring the integrity of the work. Competitive benefits, including health care, paid time off, and a 403(B), are offered.

Qualifications

• Minimum of three years professional/physician billing and/or Collection experience.
• Ability to read, write, understand and speak English effectively.
• Expert knowledge of medical terminology and coding.

Responsibilities

• Provide billing and collections support for Insurance follow-up.
• Research, analyze and resolve complex cases with minimal assistance.
• Work in a team environment to fulfill the department's mission.

Skills

Billing and collections support

Insurance follow-up

Communication skills

Expert knowledge of medical terminology

Business math

Education

High school diploma or GED

Tools

MS Office

CS-Link

Web/Vs

Availity

Job description

Revenue Cycle Specialist II (Physician Billing)

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 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 offer an outstanding benefits 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 and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating patient registration on accounts, etc. Positions at this level require expert knowledge, skill and proficiency in specialized functions and multiple 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, specialties, and provide back-up coverage.

In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution. You will work with minimal direction from management to ensure the integrity of the work performed. We work in a team environment to fulfill the mission and goals of the Department.

Qualifications

Requirements:

• High school diploma or GED required.
• Ability to read, write, understand and speak English effectively.
• A minimum of three years professional/physician billing and/or Collection experience – CMS1500 experience a plus. This physician billing experience includes corresponding with patients and insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures. Experience with reading Explanation of Benefits (EOB) statements.

Experience we are seeking:

Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill type, diagnosis, and revenue codes).
Experience with MS office, Web/Vs, Availity and CS-Link preferred.
Expert knowledge of regulatory and CSHS policies and procedures. Basic understanding of HIPAA and other privacy information guidelines
Ability to perform business math.
Successful completion of PRMPT 1.
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.
Minimum 3 years’ experience in Commercial and Government billing and follow up. Office visits, procedures, outpatient and inpatient preferred.
Ability to interpret regulations for Commercial Ins, CMS or Medi-Cal
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 commitment to creating a dynamic, inclusive environment that fuels innovation.

Job Info

• Job Identification 16126
• Legal Employer Cedars-Sinai Medical Center
• Job Category Patient Financial Services
• Locations 6500 Wilshire Blvd, Los Angeles, CA, 90048, US (Remote)