Revenue Cycle Specialist III – Billing and Collections
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Job Description
Revenue Cycle Specialist handling Patient Financial Services tasks at Cedars Sinai. Post payments, submit claims to payors, and resolve complex cases in hospital environment.
Responsibilities:
- Provides payments indexing and posting to Patient Financial Services.
- Preparing, indexing, and posting payments.
- Performing daily reconciliation and processing payment transfers.
- Reviewing and submitting claims to payors.
- Performing account follow-up activities.
- Updating information on patient account.
- Research, analyze and resolve complex cases and problem accounts with minimal assistance.
- Submits appeals and collect monies relative to physician reimbursement.
- Services as a technical resource (subject matter expert) to others.
- Assist other team members and cross trained in other Revenue Cycle functions.
Requirements:
- High School Diploma or GED required. College level courses in Finance, Business or Health Insurance preferred.
- Minimum of 4 years of hospital Revenue Cycle experience required.
- Collection experience highly preferred.
- Professional billing experience a plus.
- Follow-up and workers compensation experience a plus.
- English speech, spelling, grammar, and simple math skills equivalent to high school level required.
- Ability to perform relevant mathematical calculations.
- Must possess computer competency comprised of a detailed knowledge of MS office, Web Vs, Hospital Patient Financial Service Billing Application, i.e. Emdeon, Availity and CS-Link.
- Detailed knowledge and understanding of regulatory and CSHS policies and procedure governing billing and collections.
- Successful completion of PRMPT 1.
Benefits:
- health and dental insurance
- vacation
- 403(b)
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