Revenue Cycle Specialist II (Physician Billing)

Cedars-Sinai•Los Angeles, CA

15d•$25 - $36•Remote

About The Position

Under general supervision and in accordance with established practices, policies, and guidelines, the Revenue Cycle Specialist II provides commercial collections support to Patient Financial Services. Duties may include reviewing and resubmitting claims to third-party payors, following up on accounts, and updating account information. The role requires advanced knowledge of specialized functions and a full understanding of the revenue cycle. Specialists work independently, use customer service, analytical, and problem-solving skills, and interpret and explain payor contracts and Cedars-Sinai billing and collections policies and practices. They may assist teammates, cross-train in other revenue cycle functions, and provide backup coverage. The role includes monitoring work queues and workload, resolving accounts accurately and promptly, processing correspondence by reason code, maintaining complete and accurate account information, following payment timeline protocols, and using patient accounting and department-specific systems effectively. The specialist also adheres to documentation standards and activity-code requirements, participates in department meetings, provides process-improvement feedback, and escalates issues to a supervisor as appropriate. Remote work is approved in Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, and Texas.

Requirements

High school diploma or GED.
At least two years of hospital or professional billing and/or collections experience.
Ability to read, write, understand, and speak English effectively.
Basic computer and navigation skills.
Ability to perform relevant business math, including addition, subtraction, multiplication, and division.
Good verbal and written communication skills.
Keyboarding and data-entry proficiency.
Ability to manage multiple tasks in a fast-paced, high-volume environment with competing demands; prioritize and organize work to complete assignments accurately and on time.
Professional and courteous demeanor.

Nice To Haves

Four or more years of billing or collections experience.
Experience with Medicare, Medi-Cal, and other commercial payors.
Experience with MS Office, Web/Vs, Emdeon, and CS-Link.
Working knowledge and understanding of regulatory and CSHS policies and procedures.
Basic understanding of HIPAA and other privacy information guidelines.

Responsibilities

Provide commercial collections support to Patient Financial Services.
Review and resubmit claims to third-party payors.
Perform account follow-up activities and update account information.
Monitor assigned work queues and workload, resolving accounts accurately and in a timely manner.
Escalate issues or problems to a supervisor when appropriate.
Process incoming correspondence accurately and promptly according to reason code.
Ensure account information is complete and accurate and follow payment timeline protocols.
Assist teammates with account resolution when needed and provide backup coverage for other revenue cycle functions.
Adhere to department documentation standards, use activity codes correctly, enter data accurately, and maintain acceptable speed and accuracy.
Use Cedars-Sinai patient accounting and department-specific systems effectively and efficiently.
Participate in department meetings and provide management with feedback on process improvements.
Follow verbal and written instructions and demonstrate professionalism, responsibility, accountability, and ethical conduct.
Interpret and explain payor contracts and Cedars-Sinai billing and collections policies and practices.