Revenue Cycle Specialist I (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 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. 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, 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:

• 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 advancing them to supervisor.

• Adheres to documentation standards of the department.

• 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.

• Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.

• This is Hybrid role. Must currently live in Torrance area or be willing to relocate to area for onsite requirements. *

Qualifications

Requirements:

High school graduate or GED required. Associate degree or college diploma preferred.

A minimum of 1 years of hospital or professional billing and/or collections experience required.

Experience with MS office, Web/Vs, and CS-Link preferred.

Solid understanding of regulatory and CSHS policies and procedures. Basic understanding of HIPAA and other privacy information guidelines

Ability to perform business math.

Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention and organize work to complete assignments in a timely, accurate manner.

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 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.

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.