Revenue Cycle Specialist IV - Anesthesia

Dev; Downey (CA); On-site; USD 36,244 - 56,178; Full time

Job summary

A leading medical center in California seeks a Revenue Cycle Specialist IV - Anesthesia to provide outpatient billing support. This pivotal role requires at least 5 years of professional billing experience, especially in anesthesia, and demands strong communication skills. The ideal candidate should have expertise in regulatory requirements and be self-directed. Join a prestigious organization recognized for its commitment to high-quality care and patient satisfaction, providing a pivotal support role in financial services.

Qualifications

• Minimum of 5 years of professional billing or collection experience.
• Experience in anesthesia billing highly preferred.
• Active CPC certification preferred.
• Strong English proficiency and communication skills required.
• Must be able to perform basic business math.

Responsibilities

• Support billing and collections in outpatient settings.
• Research and resolve complex billing issues.
• Communicate effectively with internal and external customers.
• Monitor assigned accounts and ensure timely resolution.

Skills

Professional billing experience

Communication skills

Problem-solving abilities

Business math skills

Education

High school diploma or GED

College courses in finance or health insurance

Job description

Revenue Cycle Specialist IV - Anesthesia

• Full-time

Jobs for Humanity is partnering with CEDARS-SINAI to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: CEDARS-SINAI

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. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.

What you will be doing in this role:

Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow‑up activities, updating information on account, 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 and provide back‑up coverage:

• Independently responds timely and accurately to all requests. Interacts professionally and courteously with employees and internal and external customers.
• Effectively communicates, in writing and verbally, with employees and internal and external customers. Actively 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. Assists supervisors in composing policy and procedure manuals and statements for the department. Communication is clear and easy to understand. Thoughts are coherent and logical. Written communication (email, etc.) is appropriate for level being addressed.
• Effectively manages time. Maintains a clean and orderly workstation. Prioritizes work activities consistent with department goals and can balance daily workload and several projects.
• Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior. Participates in continuing education activities and promotes a positive and productive working environment. Engages in performance improvement activities within the department. Able to multi‑task effectively and is flexible with priorities. Adapts and modifies practices and routines when advised of need to do so, with a positive attitude. Takes initiative independently. Self‑directed and rarely needs to consult management or co‑workers. Volunteers and accepts special projects and assignments.
• Applies detailed knowledge of and follows all hospital and department policies, procedures (e.g., PHI). department specific systems and uses them effectively and efficiently. Participants in ongoing education to improve skill.
• Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Manages workload and priorities to meet deadlines. Takes initiative on issues and/or problems achieving desired results with minimal instruction. Notifies supervisor of issues and/or problems outside scope of authority per department standard.
• Understands and follows all applicable job aids and processes for unit. Applies “TCR” Touch It, Claim It, Resolve It.
• Adheres to documentation standards of the department. Properly uses activity codes. Notes are clear and concise. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.
• Demonstrates expert knowledge of payor practices, policies and procedures as well as the initiative and ability to problem solve in accomplishing departmental objectives. Monitors payment status of assigned accounts. Independently initiates dialogue with payor and/or patient to ensure resolution of accounts (e.g., responds to additional documentation requests, refers denied accounts to supervisor for advisement on appropriate action). Effectively and efficiently manages account inventory and ensures timely resolution and closure of accounts.

Requirements:

· A minimum of five years of professional billing or collection experience required, with experience in the specialty of anesthesia billing highly preferred.

· Active CPC highly preferred. A minimum of 5 years of professional coding highly preferred.

· High school diploma or GED required. College level courses in finance, business or health insurance preferred.

· Strong English proficiency, including using proper spelling and grammar, and solid verbal communication skills.

· Business math skills including ability to add, subtract, multiply and divide accurately.

Working Title: Revenue Cycle Specialist IV - Anesthesia

Department: CSRC PB - Group 3 CSMCF

Business Entity: Cedars‑Sinai Medical Center

Job Category: Patient Financial Services

Job Specialty: Patient Billing

Position Type: Full‑time

Shift Length: 8 hour shift

Shift Type: Day

Base Pay: $26.31 - $40.78