Revenue Cycle Specialist II (Physician Billing)

Cedars-Sinai Medical Center•Los Angeles, CA

14d•Remote

About The Position

Under general supervision and 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. The specialist works independently, uses customer-service, analytical, and problem-solving skills, and understands, interprets, and explains payor contracts and Cedars-Sinai billing and collections policies and practices. The position may involve cross-training in other revenue cycle functions, providing backup coverage, and assisting other team members. The specialist monitors assigned work queues and workload, resolves accounts accurately and on time, processes correspondence, maintains complete and accurate account information, and follows payment timeline protocols. The role also includes adhering to departmental instructions and documentation standards, using activity codes correctly, entering data accurately, maintaining productivity, escalating issues to a supervisor, and participating in department meetings with feedback on process improvements. The specialist uses Cedars-Sinai patient accounting and department-specific systems effectively and demonstrates professionalism, accountability, responsibility, and ethical conduct. Remote work is approved for 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 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.
Keyboarding and data-entry proficiency.
Ability to manage multiple tasks in a fast-paced, high-volume environment with competing demands.
Ability to 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 of regulatory requirements 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 and perform account follow-up activities.
Update account information and ensure it is complete and accurate.
Monitor assigned work queues and workload, resolving accounts accurately and within a timely manner.
Process incoming correspondence according to reason code, accurately and on time.
Follow departmental instructions, documentation standards, activity-code practices, and payment timeline protocols.
Enter data correctly and maintain acceptable levels of speed and accuracy.
Escalate issues and problems to a supervisor.
Assist other team members with account resolution and provide backup coverage as needed.
Participate in department meetings and provide management with feedback on process improvements.
Use Cedars-Sinai patient accounting and department-specific systems effectively and efficiently.
Maintain professional, responsible, accountable, and ethical conduct.