Cedars-Sinai
Revenue Cycle Specialist I
Job Description 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. We provide an outstanding benefit package that includes healthcare, 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.
Responsibilities
Develops and maintains excellent working relationships with Cedars‑Sinai Medical Network, Primary Care Clinical Departments, external clients, and patients. Perform duties that include identifying, analyzing, resolving, and responding to our client’s inquiries, concerns, issues, and following up on accounts to ensure resolution.
Serves as liaison between CSRC Services and Clinical Departments in the coordination of Department‑Specific Responsibilities. Additional primary duties and responsibilities that are only performed in the specific department(s) below: billing through charge capture to maximize reimbursement. Respond to patients and guide them through external billing processes, such as CSI, Quest, or other outside entities. Also respond to insurance companies, and other authorized third‑party inquiries, including the return of calls and research needed to bring accounts to final resolution. Keeps apprised of rules and regulations affecting coding and reimbursement by maintaining current CPT and ICD‑10 knowledge of assigned areas for accurate assessment of charge review.
Review accounts on OCS report with providers to identify balances approved or declined for further collection activity. If approved, initiate calls to patients to collect on unresolved balances. If declined, set notification in OCS report format to ensure the account is routed to the appropriate work queue for final resolution. Escalation of fee schedule discrepancies and system errors.
Participate in department meetings and provide feedback to management on how to improve department processes. Adhere to instructions, verbal and written, to achieve desired results.
Adhere to documentation standards of the department and properly use activity codes. Correctly enter data in fields. Maintain acceptable levels of speed and accuracy.
Effectively monitor assigned work queues and workload, ensuring resolution of accounts in a timely and accurate manner. Take initiative on issues and/or problems by calling them out to supervisor.
Process incoming correspondence, based on reason code, timely and accurately.
Ensure information on the account is complete and accurate. Adhere to payment timeline protocol.
Assist other team members with resolution of accounts when needed.
Demonstrate detailed knowledge of Cedars‑Sinai core patient accounting systems and/or department specific systems and use them effectively and efficiently.
Qualifications
High school graduate or GED required. College level courses in finance, business, or health insurance preferred.
A minimum of 1 year of hospital or professional billing and/or collections experience required.
Medicare/managed care follow‑up experience a plus.
Why Work Here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
Base Pay:
$24.00 – $31.96 (per hour) |
Shift:
Day, 8 hour |
Employment Status:
Full‑time |
Overtime Status:
Non‑exempt
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Job Description 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. We provide an outstanding benefit package that includes healthcare, 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.
Responsibilities
Develops and maintains excellent working relationships with Cedars‑Sinai Medical Network, Primary Care Clinical Departments, external clients, and patients. Perform duties that include identifying, analyzing, resolving, and responding to our client’s inquiries, concerns, issues, and following up on accounts to ensure resolution.
Serves as liaison between CSRC Services and Clinical Departments in the coordination of Department‑Specific Responsibilities. Additional primary duties and responsibilities that are only performed in the specific department(s) below: billing through charge capture to maximize reimbursement. Respond to patients and guide them through external billing processes, such as CSI, Quest, or other outside entities. Also respond to insurance companies, and other authorized third‑party inquiries, including the return of calls and research needed to bring accounts to final resolution. Keeps apprised of rules and regulations affecting coding and reimbursement by maintaining current CPT and ICD‑10 knowledge of assigned areas for accurate assessment of charge review.
Review accounts on OCS report with providers to identify balances approved or declined for further collection activity. If approved, initiate calls to patients to collect on unresolved balances. If declined, set notification in OCS report format to ensure the account is routed to the appropriate work queue for final resolution. Escalation of fee schedule discrepancies and system errors.
Participate in department meetings and provide feedback to management on how to improve department processes. Adhere to instructions, verbal and written, to achieve desired results.
Adhere to documentation standards of the department and properly use activity codes. Correctly enter data in fields. Maintain acceptable levels of speed and accuracy.
Effectively monitor assigned work queues and workload, ensuring resolution of accounts in a timely and accurate manner. Take initiative on issues and/or problems by calling them out to supervisor.
Process incoming correspondence, based on reason code, timely and accurately.
Ensure information on the account is complete and accurate. Adhere to payment timeline protocol.
Assist other team members with resolution of accounts when needed.
Demonstrate detailed knowledge of Cedars‑Sinai core patient accounting systems and/or department specific systems and use them effectively and efficiently.
Qualifications
High school graduate or GED required. College level courses in finance, business, or health insurance preferred.
A minimum of 1 year of hospital or professional billing and/or collections experience required.
Medicare/managed care follow‑up experience a plus.
Why Work Here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
Base Pay:
$24.00 – $31.96 (per hour) |
Shift:
Day, 8 hour |
Employment Status:
Full‑time |
Overtime Status:
Non‑exempt
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