Revenue Cycle Specialist IV (Remote)

Cedars-Sinai; Los Angeles (CA); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Healthcare coverage

Paid time off

403(b)

Job summary

Cedars-Sinai is seeking an experienced revenue cycle specialist focused on outpatient billing and collections. You will review and submit claims, follow up on accounts, and ensure accurate information across patient records and payer contracts.

Responsibilities include researching and resolving complex cases, acting as a technical resource, and potentially cross-training in other revenue cycle areas. A minimum 5 years in revenue cycle is required, CPC is preferred.

Qualifications

• High school diploma or GED required.
• Minimum 5 years revenue cycle experience including hospital/professional billing or collections.
• Minimum 2 years coding experience; CPC highly preferred.
• Proven ability to handle multiple tasks in a fast-paced environment.
• Superior decision-making, conflict resolution and analytical skills.
• Ability to interact with directors, managers, patients, internal staff and outside agency reps.
• Ability to organize complex reports and documents for distribution.
• Ability to work independently with minimal supervision and meet deadlines.

Responsibilities

• Review and submit claims to third party payors; perform account follow-up.
• Update information on accounts and perform back-up coverage as needed.
• Serve as a technical resource on revenue cycle processes and policies.
• Cross-train in other revenue cycle functions.
• Research, analyze and resolve complex cases with minimal assistance.

Skills

Multi-tasking

Decision making

Communication with staff/external

Analytical/problem solving

Independence

Regulatory knowledge of billing

Technical writing

Education

CPC certification preferred

College courses in finance/business/health insurance

Job description

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 high levels of employee engagement. We provide an outstanding benefit package that includes healthcare, 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, 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.

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

Qualifications

Requirements

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

A minimum of 5 years of revenue cycle experience to include hospital / professional billing and/or collections experience required.

A minimum of 2 years of coding experience and a CPC highly preferred.

Skills/Experience we are Seeking

Proven ability to handle multiple tasks in a fast-paced environment with conflicting demands on time and attention.

Superior decision-making, conflict resolution and critical thinking skills.

Demonstrated ability to interact effectively with directors, managers, patients, internal staff and representatives from outside agencies.

Excellent detail, analytical and problem-solving skills. Ability to quickly adjust to changing workflows.

Expert knowledge and understanding of regulatory and CSHS policies and procedures that govern billing and collections.

Ability to independently compose letters, policy statements, procedure manuals and reports.

Ability to organize complex statistical reports, charts, and exhibits into a complete document suitable for distribution.

Ability to think and work independently and with little supervision, prioritizing and organizing work to complete assignments in a timely, accurate manner. Uses good judgment for situations which require initiative and innovation.

Why Cedars‑Sinai?

Beyond extraordinary benefits, paid time off, competitive salaries and health and dental insurance, we take pride in hiring the best employees. Our amazing 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 and the gold standard of patient care we strive for.