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    Revenue Cycle Specialist II - TORRANCE, United States - CEDARS-SINAI

    CEDARS-SINAI
    CEDARS-SINAI TORRANCE, United States

    1 week ago

    Cedars-Sinai background
    OTHER Accounting / Finance
    Description

    Job Description

    Responsibilities

    • Provide support for Commercial and Government billing and collections in Insurance Follow Up and Accounts Receivable.
    • Review and submit claims to third party payors, perform account follow-up activities, update patient registration, etc.
    • Demonstrate expert knowledge and proficiency in specialized functions and various areas of the revenue cycle.
    • Research, analyze, and resolve complex cases and problem accounts independently.
    • Act as a technical resource to others and may provide back-up coverage in different revenue cycle functions.

    In this position, you will handle billing, appeals, and collections related to physician reimbursements. You will be responsible for monitoring and processing accounts, ensuring the accuracy of your work. Team collaboration is essential to achieve departmental goals.


    Qualifications

    Requirements:

    • High school diploma or GED required.
    • Proficiency in English (reading, writing, speaking).
    • Minimum of three years of professional billing and collection experience, familiarity with CMS1500.

    Desired Experience:

    • Proficiency in medical terminology and coding (ICD, CPT, HCPCS, Modifiers).
    • Experience with MS Office, Web/Vs, Availity, and CS-Link preferred.
    • Good understanding of regulatory and CSHS policies.
    • Ability to handle multiple tasks in a fast-paced environment.
    • Minimum 3 years' experience in Commercial and Government billing.
    • Professional and friendly communication skills.
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