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Revenue Cycle Specialist III

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Requisition # HRC1464479

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. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an amazing benefits package that includes Health Care, dental, vision, paid time off and a 403(b). Discover why U.S. News & World Report has named us one of America’s Best Hospitals!

What You Would be Doing:


Under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections.  Duties include but not limited to, reviewing and 
submitting claims to payors, performing account follow-up activities, updating information on patient account, reviewing and processing credits, posting payments, and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in CS-Link functions and multi-specialty areas of the revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies 
governing billing and collections and sound interpretation of same. Incumbents are expected to research, analyze and resolve 
complex cases and problem accounts with minimal assistance. Serves as a technical resource (subject matter expert) to others 
and may act in the absence of the lead and/or supervisor. This position may be cross-trained in other revenue cycle functions 
and provide back-up coverage.

In this role you will demonstrate:
•     Independently responds timely and accurately to all requests. Interacts professionally and courteously with employees and internal and external customers.
•    Adheres to instructions, verbal and written, to achieve desired results. Assists supervisors in composing policy and procedure manuals and statements for the department. Communication is clear and easy to understand. Thoughts are coherent and logical
•    Effectively manages time, maintains a clean and orderly work station. Prioritizes work activities consistent with department goals and can balance daily workload and several projects.
•    Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior. 
•    Applies detailed knowledge of and complies with all hospital, physician, and department policies, procedures (e.g., PHI)
•    Demonstrates detailed knowledge of CS- Link and/or department specific systems and utilizes them effectively.
•    Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. 
•    Adheres to documentation standards of the department and properly uses activity codes. 
•    Accurately bills multispecialty claims within established timelines and initiates dialog with payors, patients and departments. 
•    May assume lead role in the absence of the supervisor, oversee day to day department activities and is able to effectively address any concerns that may arise. 


Qualifications

Requirements:

  • High School Diploma or GED required. College level courses in Finance, Business or Health Insurance preferred.
  • Minimum of 4 years of hospital Revenue Cycle experience required.
  • Experience with surgery or Obstetrics/Gynecology highly preferred.
  • Professional billing experience highly preferred.

Experience/Skills Sought:

English speech, spelling, grammar, and simple math skills equivalent to high school level required.

Ability to perform relevant mathematical calculations.

Must possess computer competency.

Detailed knowledge and understanding of regulatory and CSHS policies and procedure governing billing and collections.

Physical Demands:

Sit at a desk or table with some walking, standing, bending, stooping, or carrying of light objects.
Perform continuous operation of a personal computer for four hours or more.
Use hands and fingers to handle and manipulate objects and/or operate equipment.


About Us

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About the Team

Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.

Req ID : HRC1464479
Working Title : Revenue Cycle Specialist III
Department : CSRC PB - Group
Business Entity : Cedars-Sinai Medical Center
Job Category : Patient Financial Services
Job Specialty : Patient Billing
Overtime Status : NONEXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $24.34 - $36.51

Our compensation philosophy

We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non Discrimination Provision (PDF) (opens in new window)

Diversity and Inclusion at Cedars-Sinai

We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All (opens in new window).

Cedars-Sinai is an Equal Employment Opportunity employer.

Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy. Cedars-Sinai’s AA Policy Statement (PDF) (opens in new window)

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