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 also were awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! 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 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 problem-solving skills, and are able to 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. 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 escalating 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. 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
A minimum of two years of experience in hospital or professional billing and/or collections experience required
Ability to read, write, understand and speak effectively in English
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
Ability to prioritize and organize work to complete assignments in a timely, accurate manner
Professional and courteous demeanor

Nice To Haves

Four years’ experience or more preferred
Experience with Medicare, Medi-Cal and other commercial payors a plus
Hospital revenue cycle experience preferred
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
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 escalating 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
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