Revenue Cycle Specialist II (Physician Billing)

Cedars-Sinai Medical Center•Torrance, CA

22h•Remote

About The Position

Cedars-Sinai is seeking a Revenue Cycle Specialist II with expertise in Physician Billing. This role provides Commercial and Government billing and collections support, including reviewing and submitting claims, performing account follow-up, and updating patient registration. Positions at this level require expert knowledge of regulatory requirements, payor contracts, and CSHS policies. Incumbents are expected to research, analyze, and resolve complex cases with minimal assistance and may serve as a technical resource or act in the absence of a supervisor. The role involves billing, submitting appeals, and collecting monies related to physician reimbursements, monitoring and processing accounts, and ensuring the integrity of work performed within a team environment. Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas.

Requirements

High school diploma or GED required
Ability to read, write, understand and speak English effectively
A minimum of three years professional/physician billing and/or Collection experience
CMS1500 experience a plus
Physician billing experience includes corresponding with patients and insurance companies in resolving patient accounts
Extensive knowledge of insurance carrier procedures
Experience with reading Explanation of Benefits (EOB) statements
Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill type, diagnosis, and revenue codes)
Expert knowledge of regulatory and CSHS policies and procedures
Basic understanding of HIPAA and other privacy information guidelines
Ability to perform business math
Successful completion of PRMPT 1
Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention
Ability to prioritize and organize work to complete assignments in a timely, accurate manner
Minimum 3 years’ experience in Commercial and Government billing and follow up
Office visits, procedures, outpatient and inpatient preferred
Ability to interpret regulations for Commercial Ins, CMS or Medi-Cal
Professional and courteous demeanor

Nice To Haves

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

Responsibilities

Reviewing and submitting multi-specialty claims to third party payors
Performing account follow-up activities
Updating patient registration on accounts
Effectively bill, submit appeals and collect monies relative to physician reimbursements
Monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution
Work with minimal direction from management to ensure the integrity of the work performed
Fulfill the mission and goals of the Department in a team environment
Provide back-up coverage for other revenue cycle functions and specialties