Revenue Cycle Specialist IV (Remote)

Cedars-Sinai Medical Center•Los Angeles, CA

3d•Remote

About The Position

Under general supervision and following established practices, policies, and guidelines, the Revenue Cycle Specialist IV supports outpatient billing and collections. Duties may include reviewing and submitting claims to third-party payors, performing account follow-up activities, and updating account information. This role requires expert knowledge and proficiency in specialized functions across multiple revenue cycle areas, along with a sound understanding and interpretation of regulatory requirements, payor contracts, and CSHS billing and collections policies. The specialist researches, analyzes, and resolves complex cases and problem accounts with minimal assistance, serves as a subject matter expert to others, and may act in the absence of the lead or supervisor. The position may involve cross-training in other revenue cycle functions and providing backup coverage. The position is remote in the approved states of 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.
Excellent attention to detail, analytical skills, and problem-solving skills.
Ability to adjust quickly to changing workflows.
Expert knowledge and understanding of regulatory requirements 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, and complete assignments accurately and on time.
Good judgment in situations requiring initiative and innovation.

Nice To Haves

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

Responsibilities

Support outpatient billing and collections.
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 for others.
May act in the absence of the lead or supervisor.
May cross-train in other revenue cycle functions and provide backup coverage.