Revenue Cycle Specialist III – Gastroenterology
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Job Description
Revenue Cycle Specialist managing billing and collections processes in gastroenterology at Cedars-Sinai. Involves relationship management and claim resolutions for optimal reimbursements.
Responsibilities:
- Works under general supervision in Revenue Cycle Management supporting billing and collections.
- Submit clean claims to payors and perform timely follow-up to resolve balances.
- Research, analyze and resolve complex cases and problem accounts.
- Develop and maintain relationships with clinical departments, clients, and patients.
- Respond to inquiries from patients, insurance companies, and third parties.
- Review accounts with providers and initiate collection calls if approved.
- Maintain detailed documentation of appeal activity in compliance with policies.
Requirements:
- High School Diploma or GED required. College level courses in finance, business or health insurance preferred.
- Minimum of 4 years of professional and/or hospital revenue cycle billing experience required. Professional billing experience highly preferred.
- Experience in gastroenterology preferred.
- Ability to review and interpret medical documentation, including progress notes, lab results, and other clinical records, to support accurate billing, appeals, and charge validation.
Benefits:
- Health insurance
- Vision insurance
- Dental insurance
- Life insurance
- Professional development opportunities
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