Revenue Cycle Specialist II

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 outstanding benefit package that includes health care, 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.

Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc.. Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents work independently and have strong customer service, analytic and problem-solving skills, and are able to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents may assist other team members.

This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II:

• Participates in department meetings and provides feedback to management on how to improve department processes. Adheres to instructions, verbal and written, to achieve desired results.
• Adheres to documentation standards of the department and properly uses activity codes. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.
• Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Takes initiative on issues and/or problems by escalating them to supervisor.
• Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.
• Processes incoming correspondence, based on reason code, timely and accurately.
• Ensures information on the account is complete and accurate. Adheres to payment timeline protocol.
• Adheres to payment timeline protocol and assists other team members with resolution of accounts when needed.
• Demonstrates detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems and uses them effectively and efficiently.

Qualifications

Requirements:

• High school diploma or GED required.
• A minimum of two years of experience in hospital or professional billing and/or collections experience required. Four years’ experience or more preferred.
• Ability to read, write, understand and speak effectively in English
• Experience with Medicare, Medi-Cal and other commercial payors a plus.
• 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.

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?

We take pride in hiring the best employees. Our dedicated staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.

Diversity and Inclusion at Cedars-Sinai

Our compensation philosophy

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). 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 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.