Revenue Cycle Specialist IV (Remote)

Cedars-Sinai; Oregon; Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Healthcare

Paid time off

403(b)

Job summary

Cedars-Sinai is seeking a revenue cycle professional to support outpatient billing and collections. The role involves reviewing and submitting claims to third-party payors, performing account follow-up, and updating account details in the system.

Knowledge of regulatory requirements and policy interpretation is essential, with potential cross-training in other revenue cycle areas. The ideal candidate has at least 5 years in revenue cycle, CPC certification preferred, and strong analytical,

Qualifications

• High school or equivalent required; college-level finance or health insurance coursework preferred.
• CPC certification is highly preferred.
• Experience in hospital or professional revenue cycle is expected."

Responsibilities

• Review and submit claims to third-party payors.
• Perform account follow-up and update information on accounts.
• Research and resolve complex billing or collection issues with minimal supervision.
• Cross-train in other revenue cycle functions as needed.

Skills

Multitasking

Decision making

Communication

Attention to detail

Regulatory knowledge

Policy writing

Analytical skills

Independent work

Education

High school diploma or GED

CPC coding certification

Finance/Business/Health insurance coursework

Tools

Microsoft Office

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.