Revenue Cycle Specialist I - Commercial Collections

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Cedars-Sinai

Posted 2 months ago

Full Time

Los Angeles, California

Remote OK

Smart Summary

Responsibilities

The Revenue Cycle Specialist provides billing support by reviewing and submitting claims to third-party payors and performing account follow-up activities. They are responsible for monitoring work queues, maintaining accurate documentation, and resolving account issues in a timely manner.

Qualifications

You have a basic knowledge of the assigned area and a general understanding of department functions and the revenue cycle. You are expected to organize, prioritize, and perform work in a timely manner within established guidelines, practices, and procedures.

Must Have Skills for ATS

Revenue Cycle

Billing Support

Claim Submission

Account Follow-up

Data Entry

Patient Accounting Systems

Job Description

Grow your career at Cedars-Sinai!

At Cedars-Sinai, we're motivated by a collective spirit of innovation and the challenge to continuously improve. Above all, we share a real passion for helping others. Day after day, from department to department, our people give their all to create a community unlike any other. Join us and make a difference every single day in service of this important work. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). 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.

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Cedars-Sinai

Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service. Today, Cedars-Sinai is widely known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai receives consistent recognition for our excellence. Our awards include; being named one of America’s Best Hospitals by U.S. News & World Report, receiving the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles, achieving the longest-running Magnet designation for nursing excellence in California, and being recognized as The Advisory Board Company’s 2017 Workplace of the Year, an award Cedars-Sinai has won three years in a row. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Cedars-Sinai is a leader in the clinical care and research of heart disease, cancer and brain disorders, among other areas. Pioneering research achievements include using cardiac stem cells to repair damaged hearts, developing minimally invasive surgical techniques and discovering new types of drugs to target cancer more precisely. Cedars-Sinai also impacts the future of healthcare through education programs that encompass everything from highly competitive medical residency and fellowship programs to a biomedical science and translational medicine PhD program, advanced training for nurses and educational opportunities for allied health professionals. Most notably, Cedars-Sinai demonstrates a longstanding commitment to strengthening the Los Angeles community through wide-ranging programs that improve the health of its most vulnerable residents.
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