Revenue Cycle Specialist I
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Job Description
Revenue cycle specialist managing claims, account follow-up, and collections for Cedars-Sinai’s healthcare services. Supporting patients, providers, insurers, and clinical departments through accurate billing resolution.
Responsibilities:
- Provide billing support to Patient Financial Services
- Review and submit claims to third-party payors
- Perform account follow-up activities and update account information
- Identify, analyze, resolve, and respond to client, patient, and departmental inquiries
- Serve as liaison between CSRC Services and Clinical Departments
- Perform billing through charge capture to maximize reimbursement
- Guide patients through external billing processes
- Respond to insurance companies and authorized third parties
- Maintain current CPT and ICD-10 knowledge for accurate charge review
- Review accounts with providers and initiate collection calls on unresolved balances
- Escalate fee schedule discrepancies and system errors
- Participate in department meetings and provide process-improvement feedback
- Maintain documentation standards, activity codes, data accuracy, and productivity
- Monitor work queues and workload to resolve accounts timely and accurately
- Process incoming correspondence
- Ensure account information is complete and accurate
- Use Cedars-Sinai patient accounting and department-specific systems effectively
Requirements:
- High school graduate or GED required
- College level courses in finance, business, or health insurance preferred
- A minimum of 1 year of hospital or professional billing and/or collections experience required
- Commercial collections experience a plus
- Approved remote states: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas
Benefits:
- Health benefits
- Vacation
- 403(b) retirement plan
- Dynamic, inclusive environment
- Culturally and ethnically diverse workplace
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