revenue cycle specialist

Infinx

<div><p>Ni2 Health is actively recruiting for entry level Revenue Cycle Specialists to join our Revenue Cycle Team to be trained on revenue cycle AR follow-up and billing workflows to support the continuous growth of the company service lines. The ideal candidate does not need to have experience but is willing to learn processes and perform job duties. The Revenue Cycle Specialist will:</p><ul><li>
Manage revenue cycle processes end-to-end</li><li>
Identify and resolve issue impacting revenue</li><li>
Collaborate across clinical and financial areas</li><li>
Analyze metrics and reports to enhance performance</li><li>
Ensure adherence to revenue cycle best practices</li><li>
Assist in other duties as assigned</li></ul><p></p><p><b>
ABOUT NI2 HEALTH, an Infinx Company</b></p><p>
At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.</p><p>
Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health (www.ni2health.com) and join a team of stars.</p><p><b>
A 2025 Great Place to Work</b><b><i>&reg;</i></b></p><p>
In 2025, Infinx was certified as a Great Place to Work<i>&reg;</i> in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.</p><p></p><p><b>
APPLICANT REQUIREMENTS AND SKILLS</b><br>
Applicants must submit a full CV, cover letter and updated resume to be considered.<br>
Position is remote.<br>
<b>Minimum Job Requirements</b></p><ul><li>
High School Diploma (College degree preferred)</li><li>
Willing to learn revenue cycle AR follow-up and billing workflows</li><li>
Experience with healthcare front or back office is a plus</li><li>
Excellent written and oral communication skills</li><li>
Excellent organizational, time management, and interpersonal skills</li><li>
Proficiency in MS Excel and MS Outlook</li></ul><p></p><p><b>
General Skills</b></p><ul><li><p>
Team player</p></li><li><p>
Independent thinker and problem-solver</p></li><li><p>
Commitment to core values of Team, Integrity, Growth, and Innovation</p></li></ul><p></p><p><b>
Compensation Package</b></p><ul><li><p>
Hourly wage based on experience</p></li><li><p>
Full benefits to include 401k with company match, progressive PTO policy with paid holidays</p></li></ul><p>
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Revenue Cycle Specialist

Cook Inlet Tribal Council

<div><h1 class="jobSectionHeader"><b>COOK INLET TRIBAL COUNCIL, INC.</b><br>
</h1>
<div><div><div><div><b>Job Title:</b></div><div> Revenue Cycle Specialist</div></div><br>
<div><div><b>
Department:</b></div><div> Finance</div></div><br>
<div><div><b>
Reports To:</b></div><div> Revenue Cycle Manager</div></div><br>
<div><div><b>
Supervises:</b></div><div> None</div></div><br>
<div><div><b>
FLSA Status:</b></div><div> Non-Exempt</div></div><br>
<div><div><b>
Pay Grade:</b></div><div> N5</div></div><br>
<div><div><b>
Job Type:</b></div><div> Regular, Full-Time</div></div><br>
<div><div><b>
AKBCU:</b> No</div><div><b> ICPA:</b> No</div></div><br>
</div>
</div>
<div></div><div><div><b>General Functions:</b></div>
<div>The Revenue Cycle Specialist ensures accurate and timely billing and collections for CITC's healthcare services by managing third-party payor claims, account follow-up activities, and outpatient billing processes. This position requires expert knowledge of Federal and State regulatory requirements, payor contracts, and CITC billing policies to maximize revenue recovery while maintaining compliance. Working in partnership with our people, the Revenue Cycle Specialist helps develop opportunities that fulfill our endless potential by ensuring financial resources are efficiently managed to support CITC's programs and services. The role serves as a subject matter expert in specialized revenue cycle functions and provides cross-functional support as needed.</div>
<div></div>
<div><b>Duties and Responsibilities:</b></div>
<div><ul><li>Review, analyze, and submit claims to third-party payors ensuring accuracy and compliance with Federal and State regulations.</li><li>
Research, correct, and resubmit unpaid or denied claims while tracking resolution through multiple EHR and billing platforms.</li><li>
Perform complex account follow-up activities by working aged receivables and utilizing A/R reports in revenue cycle management systems.</li><li>
Resolve registration and claim information issues by collaborating with clinical and administrative staff to ensure complete documentation.</li><li>
Interpret explanation of benefits (EOB) to identify denials and underpayments, then negotiate with insurance carriers for proper reimbursement.</li><li>
Submit third-party payor appeals and reconsideration requests within required timeframes to maximize revenue recovery.</li><li>
Post payments from third-party payors, Medicaid, and patients while verifying accuracy of payment and adjustment posting.</li><li>
Verify charge entry accuracy and make corrections as needed to ensure proper billing and reimbursement.</li><li>
Maintain communication with providers, patients, and insurance representatives regarding account issues and payment status.</li><li>
Meet department productivity goals and benchmarks while managing multiple tasks, projects, and deadlines simultaneously.</li><li>
Submit and track resolution of provider queries to ensure complete and accurate documentation for billing purposes.</li><li>
Protect participant privacy in accordance with CITC policies and HIPAA regulations when handling protected health information.</li><li>
Assist other staff members to maintain current department workload and provide cross-functional coverage as needed.</li><li>
Report privacy concerns or policy violations to the designated Privacy Officer without threat of retaliation.</li><li>
Perform all related duties as needed and assigned.</li></ul>
</div><div><b>Job Specifications:</b></div>
<div><ul><li>Demonstrated knowledge of medical electronic billing procedures, coding, and revenue cycle processes.</li><li>
Strong problem-solving and decision-making skills with ability to research and resolve complex billing issues.</li><li>
Excellent verbal and written communication skills with strong customer service and negotiation abilities.</li><li>
Proficient computer skills including Microsoft Office applications and ability to navigate multiple EHR and billing platforms.</li><li>
High degree of accuracy and attention to detail with demonstrated proficiency in data entry.</li><li>
Knowledge of general accounting principles, medical insurance, and associated Federal and State regulations.</li><li>
Ability to work independently with minimal supervision while managing multiple priorities under pressure.</li><li>
Demonstrated knowledge and understanding of the social, health, educational, training, and cultural needs of the Alaska Native and American Indian community.</li><li>
Ability and willingness to work remotely as needed with appropriate technology and internet connectivity.</li></ul>
</div><div><b>Minimum Core Competencies:</b></div>
<div>CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.</div>
<div></div>
<div><b>Minimum Qualifications:</b></div>
<div><ul><li>Continued employment is contingent upon completion of satisfactory state and federal fingerprint criminal background check.</li><li>
High School Diploma or GED.</li><li>
Three (3) years of billing revenue cycle experience.</li><li>
Three (3) years of medical billing experience.</li></ul>
</div><div><b>Preferred Qualifications:</b></div>
<div><ul><li>Five (5) years of billing revenue cycle experience.</li><li>
CRCR or CPC certification.</li><li>
Alaska Behavioral Health billing experience (State Plan and/or 1115 Waiver).</li><li>
Experience with tribal/IHS billing and reimbursement.</li></ul>
</div><div><b>Physical Requirements:</b><br>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.</div>
<div><ul><li>May require prolonged periods of sitting at a desk and consistently working on a computer with repetitive motion.</li><li>
The need to occasionally move around the office to access filing cabinets, storage cabinets, and office equipment may be necessary.</li><li>
Must be able to lift up to 25 pounds occasionally by utilizing proper lifting techniques and working in a safe manner.</li></ul>
</div>
<div></div><div><b>Disclaimer</b><br>
<i>The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.</i></div></div></div>

Saber Healthcare Group

<div><h3 class="jobSectionHeader"><b>Make a difference behind the scenes-join our team and help support compassionate care in communities across the company</b></h3><p><b>
Advantages:</b></p><ul><li><p><b>
Make a Difference</b> &ndash; Ensure financial stability that supports quality resident care.</p></li><li><p><b>
Comprehensive Benefits</b> &ndash; Health, dental, vision, and retirement plans.</p></li><li><p><b>
Generous PTO </b>&ndash; Work-life balance with paid time off and holidays.</p></li><li><p><b>
Team-Oriented Culture</b> &ndash; Work with dedicated professionals who value excellence.</p></li><li><p><b>
Stability</b> &ndash; Join an organization with a proven track record in skilled nursing care.</p></li></ul><p><b><br>
Benefits and Perks*:</b></p><ul><li><p>
Benefit eligibility the first of the month following 30 days</p></li><li><p>
Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution.</p></li><li><p>
401K through Fidelity</p></li><li><p>
Employer-paid life insurance (FT employees)</p></li><li><p>
Robust Employee Assistance Program</p></li><li><p>
Generous Paid Time Off (PTO)</p></li><li><p>
Educational, leadership, and tuition opportunities</p></li><li><p>
Various discount programs offered, including discounted childcare programs through Kindercare</p></li><li><p>
Wellness programs offered through WebMD</p></li><li><p>
Employee recognition programs</p></li><li><p>
Culture of employees creating an IMPACT!</p></li></ul><p></p><p><b>
Position Summary:</b></p><p>
The primary function of Field Revenue Cycle Specialist is to help manage the customarily recognized Business Offices of the communities, particularly regarding staff members of the Business Offices of the communities. The Field Revenue Cycle Specialist supports and develops the Business Office staff of the communities to ensure the timely and accurate Revenue Cycle Process. This position will require travel. The Field Revenue Cycle Specialist works in conjunction with and supports the Revenue Cycle Department.</p><p><b><br>
Key Responsibilities:</b></p><ul><li><p>
Support, train, and develop Business Office staff</p></li><li><p>
Oversee billing, collections, census, and overall Revenue Cycle accuracy</p></li><li><p>
Support communities with Medicaid eligibility, applications, and appeals</p></li><li><p>
Monitor performance, workflows, and compliance across assigned communities</p></li><li><p>
Travel regularly to community locations</p></li></ul><p><b><br>
Education/Qualifications:</b></p><ul><li><p>
You must have two (2) or more years of Long-Term Care experience as it relates to Revenue Cycle.
</p></li><li><p>Must possess and demonstrate strong computer skills (Microsoft Office, Excel, etc.).
</p></li><li><p>Must possess knowledge of state Medicaid eligibility requirements, from the application through the appeal process.
</p></li><li><p>Must have the ability to work with the requirements of the position/assignment, with ability to travel.</p></li></ul><p></p><p><b>
Shift &amp; Wage:</b></p><ul><li><p>
Full-Time Opportunity Available</p></li><li><p>
Shifts Needed: Monday-Friday</p></li></ul><div><ul><li><br>
<b>Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.</b></li></ul></div><p><b>
We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.</b></p></div><p></p>

Field Revenue Cycle Specialist

Valley-Wide Health Systems, Inc.

<div><div><div><b>Join Our Team at Valley-Wide Health Systems, Inc.</b></div></div><div><div>
We are seeking a detail-oriented and collaborative Revenue Cycle Specialist I who enjoys working with data, solving problems, and supporting efficient billing processes while contributing to positive patient and team experience.</div></div><p></p><div><div><b>
Key Responsibilities</b></div></div><ul><li><div>
Work proficiently within assigned revenue cycle functions</div></li><li><div>
Track missing documentation and ensure timely follow-up with providers, staff, and insurance companies</div></li><li><div>
Maintain assigned productivity standards</div></li><li><div>
Support the Revenue Cycle Team Lead as needed</div></li><li><div>
Prepare, review, and maintain reports and tracking tools (e.g., AR reports, posting ledgers, holding tanks)</div></li><li><div>
Provide feedback to providers, clinical staff, and operations teams</div></li><li><div>
Collaborate across departments to support communication and workflow efficiency</div></li><li><div>
Answer patient calls and assist with billing-related inquiries</div></li><li><div>
Contact insurance companies to resolve denials and other issues</div></li><li><div>
Maintain billing for non-insurance contracts</div></li><li><div>
Provide cross-coverage support for other revenue cycle teams as needed</div></li></ul><div><div><b>
Requirements</b></div></div><ul><li><div>
High school diploma or equivalent required; 1&ndash;2 years of medical billing experience preferred</div></li><li><div>
Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred</div></li><li><div>
Proficient in Microsoft Office, especially Excel and Teams; experience with systems like NextGen (electronic health records) preferred</div></li><li><div>
Strong written and verbal communication skills</div></li><li><div>
High attention to detail and accuracy</div></li><li><div>
Ability to work collaboratively and maintain productivity standards</div></li><li><div>
Positive attitude and alignment with Valley-Wide&rsquo;s mission</div></li></ul><p>
</p><div><div><b>Location &amp; Type of Job: </b>This is a full-time, onsite position based in Alamosa, Colorado.</div></div><p>
</p><div><div><b>Why Join Valley-Wide?</b></div></div><div><div>
Valley-Wide Health Systems, Inc. is dedicated to providing high-quality, patient-centered healthcare to all individuals across our multi-county service area in southern Colorado. As a non-profit, Federally Qualified Health Center (FQHC), we offer premier primary and preventive care through our 34 service sites strategically located in rural communities.</div></div><p>
</p><div><div>We offer a comprehensive benefits package, including:</div></div><ul><li><div>
Free Health Insurance (additional plan options available)</div></li><li><div>
Employer-paid Air Ambulance Coverage (MASA)</div></li><li><div>
Employer-paid Basic Life, LTD, STD</div></li><li><div>
Retirement Match</div></li><li><div>
Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan</div></li><li><div>
Paid Leave:</div><ul><li><div>
Vacation: 10 days accrued per year</div></li><li><div>
Sick Leave: 12 days accrued per year</div></li><li><div>
Holidays: 7 days per year + 3 Floating Holidays</div></li></ul></li></ul><div><div>
For more information and to apply, visit our website: Valley-Wide Careers</div></div><p></p><div><div><b>
Equal Opportunity Employer Statement: </b>Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, or any other status protected by law. All qualified applicants will receive equal opportunity, with hiring decisions based on job-related factors.</div></div><p></p><div><div>
Employee Rights Under the Family and Medical Leave Act (FMLA) For more information on employee rights under FMLA, please visit: FMLA Employee Rights</div></div></div><p></p>

Revenue Cycle Specialist I

Empower Behavioral Health

<div><p><b>Reports to:</b> Revenue Cycle Director</p>
<p><b>FLSA Status: </b>Exempt/Full Time</p>
<p><b>
Location: In-person at our corporate office is required for individuals who are located in San Antonio or surrounding areas, remote will be considered if not located in San Antonio. In order to be eligible for remote candidates must live in one of the following states: Texas, Georgia, Florida, Louisiana, Tennessee, Mississippi or Alabama.
</b></p><p><b>Job Summary:
</b></p><p>The Revenue Cycle Specialist Lead at Empower Behavioral Health (EBH) is a key member of the revenue cycle management team. This individual is responsible for overall claim follow-up, denial management and appeals tracking. Ensuring that our cash flow is consistent and denial trends are tracked and reported. Working in a fast-paced, growing organization, this position is focused on the ever-growing needs of the EBH billing team in line with the EBH standard of patient care. This position will rely heavily on communication and multi-tasking abilities.</p>
<p><b>
Duties and Responsibilities:
</b></p><ul><li>Oversee end-to-end accounts receivable (AR) workflows, ensuring timely follow-up, resolution, and optimization of outstanding claims</li><li>
Lead denial management and claim recovery efforts, including root cause analysis, appeal strategy, and resolution tracking to maximize reimbursement</li><li>
Analyze cash flow trends, payment variances, and payer performance to identify risks and opportunities for revenue improvement</li><li>
Prepare, review, and submit claims in alignment with payer requirements and organizational standards</li><li>
Manage payment posting and reconciliation of Explanation of Benefits (EOBs), ensuring accuracy and completeness of financial data</li><li>
Retrieve and reconcile remittances from payer portals to support accurate cash application and reporting</li><li>
Communicate directly with payers to resolve claim issues, submit technical appeals, and address underpayments or denials</li><li>
Monitor daily billing and AR activities to ensure productivity standards and timely claim progression</li><li>
Compile and deliver month-end reporting, including AR aging, denial trends, and cash performance insights for leadership review</li><li>
Facilitate monthly revenue cycle or billing meetings, providing actionable insights and updates on key performance indicators</li><li>
Research and prepare documentation required for appeals and audits, ensuring compliance with payer and regulatory requirements</li><li>
Identify denial trends and implement corrective action plans to improve first-pass resolution rates and reduce rework</li></ul>
<p><b>
Competencies:
</b></p><ul><li>Planning and Evaluating (Workload Management)</li><li>
Problem Solving</li><li>
Attention to Detail</li><li>
Results-Oriented</li><li>
Customer Service</li><li>
Oral and Written Communication</li></ul>
<p><b>
Education and Experience:
</b></p><p>Required:</p>
<ul><li>
High school diploma or equivalent</li><li>
Minimum of one year of healthcare professional billing experience</li><li>
Previous experience with Claim Submission Requirements</li><li>
Experience with revenue cycle and how various components work together</li><li>
Experience or exposure to any Practice Management Software</li><li>
Experience with a large number of taking inbound and outbound calls while maintaining a professional manner
</li></ul><p>Preferred:</p>
<ul><li>
Experience with Central Reach practice management system</li><li>
Experience working in an administrative setting</li><li>
Experience working in a growing organization</li></ul>
<p><b>
Physical Requirements:</b></p>
<ul>
<li>Must be able to sit for extended periods while working at a desk or computer</li>
<li>Must be able to stand, walk, and move about the office as needed</li>
<li>Must be able to use hands and fingers to operate a computer, keyboard, mouse, telephone, and other office equipment</li>
<li>Must be able to reach, bend, handle, and manipulate office materials and equipment</li>
<li>Must be able to lift and carry office supplies, packages, and materials weighing up to 15 pounds</li>
<li>Must be able to see, read, and interpret written documents, computer screens, and data for extended periods of time</li>
<li>Must be able to hear and communicate effectively in person, over the phone, and via electronic means</li></ul><p></p><p><br>
Empower Behavioral Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
</p><p>This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.</p></div>

Revenue Cycle Specialist Lead

Cedars-Sinai Medical Center

<p></p><div><div><div><div><p><b>Job ID</b> 16126</p>
<p><b>Location</b> Torrance, California, United States
</p><p><b>Job Category</b> Patient Financial Services
</p><p><b>Date posted</b> 04/28/2026</p></div></div><p></p><div><br>
<div></div>
</div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2><p>
Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation&rsquo;s Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company&rsquo;s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an outstanding benefits package that includes health care, paid time off, and a 403(B). Join us! Discover why U.S. News &amp; World Report has named us one of America&rsquo;s Best Hospitals.</p><p><b>
What will you be doing in this role?</b></p><p>
Under general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating patient registration on accounts, etc. Positions at this level require expert knowledge, skill and proficiency in specialized functions and multiple 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, specialties, and provide back-up coverage.</p><p>
In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution. You will work with minimal direction from management to ensure the integrity of the work performed. We work in a team environment to fulfill the mission and goals of the Department.</p><p>
*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*</p><h2 class="jobSectionHeader"><b>
Qualifications</b></h2><p><b>
Requirements:</b></p><ul><li>
High school diploma or GED required.</li><li>
Ability to read, write, understand and speak English effectively.</li><li>
A minimum of three years professional/physician billing and/or Collection experience &ndash; CMS1500 experience a plus. This physician billing experience includes corresponding with patients and insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures. Experience with reading Explanation of Benefits (EOB) statements.</li></ul><p><b><br>
Experience we are seeking:</b></p><p><br>
Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill type, diagnosis, and revenue codes).<br>
Experience with MS office, Web/Vs, Availity and CS-Link preferred.<br>
Expert knowledge of regulatory and CSHS policies and procedures. Basic understanding of HIPAA and other privacy information guidelines<br>
Ability to perform business math.<br>
Successful completion of PRMPT 1.<br>
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.<br>
Minimum 3 years&rsquo; experience in Commercial and Government billing and follow up. Office visits, procedures, outpatient and inpatient preferred.<br>
Ability to interpret regulations for Commercial Ins, CMS or Medi-Cal<br>
Professional and courteous demeanor.</p><p><b>
Why work here?</b></p><p>
Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best, most passionate 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.</p>
</div><div><div><div><b>Req ID</b> 16126</div>
</div><div><div><b>Working Title</b> Revenue Cycle Specialist II (Physician Billing)</div>
</div><div><div><b>Department</b> CSRC PB - Group 4 Faculty</div>
</div><div><div><b>Business Entity</b> Cedars-Sinai Medical Center</div>
</div><div><div><b>Job Category</b> Patient Financial Services</div>
</div><div><div><b>Job Specialty</b> Patient Billing</div>
</div><p></p><div><div><b>Overtime Status</b> NONEXEMPT</div>
</div><div><div><b>Primary Shift</b> Day</div>
</div><div><div><b>Shift Duration</b> 8 hour</div>
</div><div><div><b>Base Pay</b> $24.00 - $35.23</div></div></div></div><p></p>
<br><div><div><h3 class="jobSectionHeader"><b>Diversity and Inclusion at Cedars-Sinai</b></h3>
<div>
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 &ndash; because that&rsquo;s what our patients, colleagues and communities deserve <b>Quality Care and Research&mdash;For All, By All</b>.</div>
</div><div><h3 class="jobSectionHeader"><b>Our compensation philosophy</b></h3>
<div>We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range 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. The base pay range does not include any incentive payments that may be applicable to a role. <b>Pay Transparency Non-Discrimination Provision (PDF) </b>.
</div></div><div><h3 class="jobSectionHeader"><b>Cedars-Sinai is an Equal Employment Opportunity employer.</b></h3>
<p>
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 <b>Applicant_Accommodation@cshs.org</b> 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.</p>
<p>
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.</p>
<p>
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.</p></div></div><div></div>

Revenue Cycle Specialist II (Physician Billing)

Naven Health, Inc

<div><p><b>Extraordinary Careers. Endless Possibilities.</b></p><p></p><p><b>
With the nation&rsquo;s largest home infusion provider, there is no limit to the growth of your career.</b></p><p></p><p>
 Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.</p><p></p><p>
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you&rsquo;re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.</p><p></p><p><b>
Job Description Summary:</b></p>
Applicants must currently reside in the Central Time Zone to be considered<br>
Responsible for the timely, accurate submission of invoices to responsible payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account. Follows-up with responsible parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes &quot;second level&quot; appeals to payers.<p><b>
Job Description:</b>
</p><p></p><p><b>Job Responsibilities:</b></p><ul><li>
Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.</li><li>
Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other offices within 48 hours of receipt.</li><li>
Follows up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.</li><li>
Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.</li></ul><p></p><p><b>
Basic Education and/or Experience Requirements:</b></p><ul><li>
High School Diploma or equivalent.</li><li>
0 &ndash; 6 months previous Infusion Reimbursement or Intake/Admissions experience</li></ul><p></p><p><b>
Basic Qualifications &amp; Interests:</b></p><ul><li>
Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).</li><li>
Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).</li></ul><p></p><p>
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.</p><p></p><p>
Due to state pay transparency laws, the full range for the position is below:</p><p>
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.</p><p></p><p><b>
Benefits:</b></p><ul><li>Medical, Dental, &amp; Vision Insurance</li><li>Paid Time off</li><li>Bonding Time Off</li><li>401K Retirement Savings Plan with Company Match</li><li>HSA Company Match</li><li>Flexible Spending Accounts</li><li>Tuition Reimbursement</li><li>myFlexPay</li><li>Family Support</li><li>Mental Health Services</li><li>Company Paid Life Insurance</li><li>Award/Recognition Programs</li></ul><p></p><p><i>
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.</i></p></div><p></p>

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