Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters.
This shared culture of happiness, passion, and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons why we rank as one of the top hospitals in the nation by U.S. News & World Report.
What does the Transplant Financial Specialist do?
The Transplant Financial Specialist is a hybrid role that provides financial support to the Kidney Operations programs. Verifies eligibility and benefits to acquire insurance authorizations prior to all Transplant-related procedures, diagnostic tests, and physician consults. Assists with patient billing inquiries, and insurance denial and reimbursement queries. Monitors and identifies changes in regulations and legislation with regards to commercial and government payer reimbursement practices. Provides financial counseling to patients and their families. Provides assistance and support to the Finance Leads and Associate Director with ad hoc data analysis projects to demonstrate financial performance of the advance disease and transplant programs. In this role you will:
Create and maintain database systems to store, manage and track information and data for assigned department.
Generate reports using standard report writing from various medical databases and from the CS Link data warehouse. Lead and coordinate data collection and data maintenance for both internal and external users as requested. Develop and maintain quality control systems required to ensure data quality, reliability and integrity. Perform other activities require to maintain efficient, accurate data systems. Perform daily reconciliation of hospital billing charges to ensure that clinical revenue properly files to the appropriate cost center. Work accounts in the physician billing work queue. Maintain administrative upkeep of CJRR, IRB-approved study.
Primary Duties:
- Perform daily reconciliation of hospital billing charges.
- Generate reports from medical database and CS Link data warehouse.
- Create and maintain internal databases that track clinical/surgical volumes, clinic efficiency/productivity and patient outcomes.
- Maintain the PB work queue by reviewing and correcting errors in patient accounts.
- Perform administrative upkeep of CIRR study and other IRB-approved studies for Ortho Center physicians (as applicable)
- Reconcile patient accounts for error and patient complaints regarding billing.
Qualifications
Requirements:
- Transplant experience highly preferred.
- High school diploma/GED required. Associate degree/College diploma preferred with courses in business, accounting, and computer science.
- Two years in finance or equivalent office experience strongly preferred.
Why work here?
Beyond outstanding employee benefits including 16 days paid vacation plus 10 paid holidays, a 403(b) and our Choice Retirement plan (100% funded by Cedars-Sinai) 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.
Req ID : 7570
Working Title : Transplant Financial Specialist
Department : Kidney Pancreas Transplant Clinic
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 : $28.45 - $44.10
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)
