Revenue Cycle Specialist IV (Remote)

Cedars-Sinai•Los Angeles, CA

4d•$28 - $44•Remote

About The Position

Under general supervision and in accordance with established practices, policies, and guidelines, provides outpatient billing and collections support. Duties may include reviewing and submitting claims to third-party payors, following up on accounts, and updating account information. The role requires expert knowledge and proficiency across specialized functions and multiple areas of the revenue cycle, including regulatory requirements, payor contracts, and organizational policies governing billing and collections. The specialist researches, analyzes, and resolves complex cases and problem accounts with minimal assistance; serves as a subject matter expert and technical resource to others; and may act in the absence of a lead or supervisor. The position may also involve cross-training in other revenue cycle functions and providing backup coverage. This is a remote role available to candidates in Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, and Texas.

Requirements

High school diploma or GED.
At least 5 years of revenue cycle experience, including hospital or professional billing and/or collections experience.
Ability to handle multiple tasks in a fast-paced environment with conflicting demands on time and attention.
Superior decision-making, conflict resolution, and critical-thinking skills.
Ability to interact effectively with directors, managers, patients, internal staff, and representatives from outside agencies.
Strong attention to detail, analytical and problem-solving skills, and ability to adjust quickly to changing workflows.
Expert knowledge and understanding of regulatory and CSHS policies and procedures governing billing and collections.
Ability to independently compose letters, policy statements, procedure manuals, and reports.
Ability to organize complex statistical reports, charts, and exhibits into a complete document suitable for distribution.
Ability to work independently with little supervision, prioritize and organize work, complete assignments accurately and on time, and use good judgment in situations requiring initiative and innovation.

Nice To Haves

College-level courses in finance, business, or health insurance.
At least 2 years of coding experience.
Certified Professional Coder (CPC) credential.

Responsibilities

Review and submit claims to third-party payors.
Perform account follow-up activities and update account information.
Research, analyze, and resolve complex cases and problem accounts with minimal assistance.
Serve as a technical resource and subject matter expert to others.
May act in the absence of the lead and/or supervisor.
May cross-train in other revenue cycle functions and provide backup coverage.