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. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.
What will you be doing in this role?
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. The Revenue Cycle Specialist III:
- 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 workstation. 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 aligns with all hospital, physician, and department policies, procedures (e.g., PHI)
- Demonstrates detailed knowledge of CS- Link and/or department specific systems and uses 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.
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Qualifications
Requirements:
- High school diploma or GED required. College level courses in finance, business or health related certificates are preferred.
- A minimum of four years’ experience of professional and/or hospital revenue cycle billing experience is required.
- Ability to read, write, understand and speak effectively in English.
Experience we are seeking:
- Hospital revenue cycle experience preferred.
- Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.
- Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.
- Basic understanding of HIPAA and other privacy information guidelines preferred.
- Ability to perform relevant business math (including addition, subtraction, multiplication and division)
- Good verbal and written communication skills.
- Keyboard and data entry proficiency.
- Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.
- Professional and courteous demeanor.
Why work here?
Beyond extraordinary benefits, paid time off, competitive salaries and health and dental insurance, we take pride in hiring the best employees. Our amazing 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 and the gold standard of patient care we strive for.
Req ID : 5300
Working Title : Revenue Cycle Specialist III (Remote)
Department : MNS PBS Huntington Hospital
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 : $25.06 - $37.59
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)