Revenue Cycle Specialist I - Commercial Collections

Cedars-Sinai Medical Center•Los Angeles, CA

About The Position

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.

Requirements

High school graduate or GED required.
A minimum of 1 years of hospital or professional billing and/or collections experience required.
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.

Nice To Haves

Associate degree or college diploma preferred.
Experience with MS office, Web/Vs, Availity, and CS-Link preferred.
Experience with Commercial payers including: Aetna, Blue Cross, Blue Shiels, Unit Care processes and regulations highly preferred.
Solid understanding of regulatory and CSHS policies and procedures.
Basic understanding of HIPAA and other privacy information guidelines.

Responsibilities

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.