Revenue Cycle Specialist II

Cedars-Sinai•Los Angeles, CA

19h•Onsite

About The Position

Under general supervision and following established practices, policies, and guidelines, the Revenue Cycle Specialist II provides commercial collections support to Patient Financial Services. This includes duties such as reviewing and resubmitting claims to third party payors, performing account follow-up activities, and updating information on accounts. This level requires advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents are expected to work independently, possess strong customer service, analytic, and prioritization skills, and be able to understand, interpret, and explain payor contracts and CSMC billing and collections policy and practices. The position may involve assisting other team members and may be cross-trained in other revenue cycle functions to provide back-up coverage.

Requirements

Advanced knowledge in specialized functions and a full understanding of the revenue cycle.
Strong customer service, analytic and prioritization skills.
Ability to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices.
Detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems and uses them effectively and efficiently.

Responsibilities

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.
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.