Revenue Cycle Specialist I (Physician Billing)

Cedars-Sinai Medical Center•Los Angeles, CA

11d•Hybrid

About The Position

Under general supervision and following established practices, policies, and guidelines, the Revenue Cycle Specialist I provides billing support to Patient Financial Services. The role includes reviewing and submitting claims to third-party payors, following up on accounts, updating account information, and processing incoming correspondence. This position requires basic knowledge of the assigned area and a general understanding of department functions and the revenue cycle. The specialist organizes, prioritizes, and completes work within established guidelines and timelines, monitors assigned work queues, and ensures accounts are resolved accurately and promptly. The position may be cross-trained in other office functions and provide backup coverage. It is a hybrid role; the employee must currently live in the Torrance area or be willing to relocate there to meet onsite requirements.

Requirements

High school diploma or GED.
At least 1 year of hospital or professional billing and/or collections experience.
Solid understanding of regulatory requirements and Cedars-Sinai Health System policies and procedures.
Basic understanding of HIPAA and other privacy information guidelines.
Ability to perform business math.
Ability to manage multiple tasks in a fast-paced, high-volume environment with competing demands and organize work to complete assignments accurately and on time.
Professional and courteous demeanor.
Must currently live in the Torrance area or be willing to relocate to meet onsite requirements.

Nice To Haves

Associate degree or college diploma.
Experience with MS Office, Web/Vs, and CS-Link.

Responsibilities

Review and submit claims to third-party payors.
Perform account follow-up activities and update account information.
Organize, prioritize, and complete work accurately and on time within established guidelines and procedures.
Monitor assigned work queues and workload, ensuring accounts are resolved accurately and promptly.
Process incoming correspondence according to reason code in a timely and accurate manner.
Ensure account information is complete and accurate and follow payment timeline protocol.
Assist other team members with account resolution when needed.
Follow verbal and written instructions and departmental documentation standards, including proper use of activity codes and accurate data entry.
Maintain acceptable levels of speed and accuracy.
Advance issues or problems to a supervisor.
Use Cedars-Sinai core patient accounting systems and/or department-specific systems effectively and efficiently.
Participate in department meetings and provide management feedback on process improvements.
Provide backup coverage and perform other office functions as needed.
Demonstrate professionalism, responsibility, accountability, and ethical behavior.