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Revenue Cycle Specialist III - Torrance, United States - Cedars-Sinai
Description
**Job Description**
**What You Will Be Doing in this Role:**
Under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient account, reviewing and processing credits, posting payments, and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in CS-Link functions and multi-specialty areas of the revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections and sound interpretation of same. Incumbents are expected to research, analyze and resolve complex cases and problem accounts with minimal assistance. Serves as a technical resource (subject matter expert) to others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist III:
+ Independently responds timely and accurately to all requests. Interacts professionally and courteously with employees and internal and external customers.
+ Adheres to instructions, verbal and written, to achieve desired results. Assists supervisors in composing policy and procedure manuals and statements for the department. Communication is clear and easy to understand. Thoughts are coherent and logical.
+ Effectively manages time, maintains a clean and orderly workstation. Prioritizes work activities consistent with department goals and can balance daily workload and several projects.
+ Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.
+ Applies detailed knowledge of and complies with all hospital, physician, and department policies, procedures (e.g., PHI)
+ Demonstrates detailed knowledge of CS- Link and/or department specific systems and utilizes them effectively.
+ Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner.
+ Adheres to documentation standards of the department and effectively use activity codes.
+ Accurately bills multispecialty claims within established timelines and initiates dialog with payors, patients and departments.
+ May assume lead role in the absence of the supervisor, oversee day to day department activities and is able to effectively address any concerns that may arise.
**Qualifications**
**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 experience required.
+ Experience with surgery highly preferred.
+ Professional billing experience highly preferred.
**Experience/Skills Sought:**
+ English speech, spelling, grammar, and simple math skills equivalent to high school level required.
+ Ability to perform relevant mathematical calculations.
+ Must possess computer competency.
+ Detailed knowledge and understanding of regulatory and CSHS policies and procedure governing billing and collections.
**Physical Demands:**
+ Sit at a desk or table with some walking, standing, bending, stooping, or carrying of light objects.
+ Perform continuous operation of a personal computer for four hours or more.
+ Use hands and fingers to handle and manipulate objects and/or operate equipment.
**About Us**
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
**About the Team**
Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.
**Req ID** : 670
**Working Title** : Revenue Cycle Specialist III
**Department** : CSRC PB - Group
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Patient Financial Services
**Job Specialty** : Patient Billing
**Overtime Status** : NONEXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $ $36.51
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
