Revenue Cycle Specialist II

Cedars-Sinai Medical Center•Los Angeles, CA

About The Position

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 were also awarded the Advisory Board Workplace of the Year. Join us. Discover why U.S. News & World Report has named us one of America’s Best Hospitals! What you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents work independently and have strong customer service, analytic and prioritization skills, and can understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents may assist other team members. This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II: 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. Accurately 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. Exemplifies high standards of professionalism, responsibility, accountability, and ethical behavior. Processes incoming correspondence, based on reason code, timely and accurately. Ensures information on the account is complete and accurate. 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 diploma or GED required. College lever courses in finance, business, or health insurance a plus.
A minimum of four years’ experience with hospital or professional billing and/or collections experience required.
Hospital account follow-up experience with commercial payer key.
Basic computer and navigation skills.
Ability to perform relevant business math (including addition, subtraction, multiplication, and division)
Good verbal and written communication skills.
Keyboard and data entry proficiency.
Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention.
Prioritizes and organizes work to complete assignments in a timely, accurate manner.
Professional and courteous demeanor.

Nice To Haves

Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.
Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.
Basic understanding of HIPAA and other privacy information guidelines preferred.

Responsibilities

Provides commercial collections support to Patient Financial Services
Reviews and resubmits claims to third party payors
Performs account follow-up activities
Updates information on account
Understands, interprets and explains payor contracts and CSMC billing and collections policy and practices
Assists other team members
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
Accurately 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
Exemplifies high standards of professionalism, responsibility, accountability, and ethical behavior
Processes incoming correspondence, based on reason code, timely and accurately
Ensures information on the account is complete and accurate
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