Revenue Cycle Specialist II – Physician Billing
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Job Description
Revenue Cycle Specialist II supporting Cedars-Sinai’s healthcare billing operations. Reviewing claims, managing payer follow-up, and resolving patient accounts remotely.
Responsibilities:
- Provide commercial collections support to Patient Financial Services
- Review and resubmit claims to third-party payors
- Perform account follow-up activities
- Update account information
- Interpret and explain payor contracts and billing and collections policies and practices
- Participate in department meetings and provide process-improvement feedback to management
- Monitor assigned work queues and workload
- Resolve accounts accurately and escalate issues to the supervisor
- Process incoming correspondence based on reason codes
- Ensure account information is complete and accurate
- Adhere to payment timeline protocols
- Assist team members with account resolution and provide backup coverage
- Use Cedars-Sinai patient accounting and department-specific systems
Requirements:
- High school diploma or GED required
- Minimum of two years’ experience of hospital or professional billing and/or collections experience required
- Ability to read, write, understand and speak effectively in English
- Experience with Medicare, Medi-Cal and other commercial payors a plus
- 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, 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
Benefits:
- Health care insurance
- Dental insurance
- Paid time off
- Vacation
- 403(b) retirement plan
- Inclusive and dynamic work environment
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