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Revenue Cycle Specialist IV (Remote)

Cedars-Sinai

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At a glance

Compensation
No compensation found
Location
Remote · US
Work Authorization
Not specified

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Job overview

The Revenue Cycle Specialist IV supports outpatient billing and collections under general supervision, including claims submission, account follow-up, and account updates. The role requires expert knowledge of specialized revenue cycle functions, regulatory requirements, payor contracts, and organizational policies. The specialist researches and resolves complex cases with minimal assistance, serves as a technical resource to others, and may provide cross-training or backup coverage.

Skills & qualifications

RequiredNice to have

Skills

MultitaskingDecision-MakingConflict ResolutionCritical ThinkingInterpersonal CommunicationAttention to DetailAnalytical SkillsProblem-SolvingWorkflow AdaptabilityRegulatory ComplianceBilling and CollectionsBusiness WritingReport OrganizationIndependent WorkPrioritizationJudgment

Qualifications

High School Diploma or GEDCollege-Level Finance, Business, or Health Insurance Courses5 Years Revenue Cycle Experience2 Years Coding ExperienceCPC Certification

Benefits

Medical Insurance
Paid Time Off
401(k) Match
Dental Insurance

Full 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.

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.

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