Revenue Cycle Specialist III
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Job Description
Revenue Cycle Specialist III managing billing and collections processes at Cedars-Sinai. Collaborating with clinical departments and maintaining patient account accuracy and resolution.
Responsibilities:
- Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client’s inquiries, concerns, and issues, and following up on accounts to ensure resolution.
- Make recommendations for improved operational processes so that billing information is received from client groups in a timely and accurate manner.
- Keeps informed of rules and regulations affecting coding and reimbursement by maintaining current CPT and ICD-10 knowledge of assigned areas for accurate assessment of charge review.
- Inputs specialty or cosmetic charges, creates manual invoices and follows up for payment.
- Identifies and advances new services for appropriate pseudo-code creation.
- Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate charge capture.
- Review accounts on OCS report with providers to identify balances approved or declined for further collection activity.
Requirements:
- High School Diploma or GED required. College level courses in Finance, Business or Health Insurance are preferred.
- Minimum of 4 years of professional and/or hospital revenue cycle billing experience required. Professional billing experience highly preferred.
- Follow-up collection experience sought.
- Experience with workers' compensation a plus.
Benefits:
- health care
- dental
- vision
- paid time off
- 403(b)
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