Research Specialist - Los Angeles, CA, United States - Cedars-Sinai

Description

Job Description Would you like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.

News & World Report has named us one of America's Best Hospitals

Tell me About this Role: Under general supervision and following established practices, policies, and guidelines, provides payments indexing and posting to Patient Financial Services, performing duties which may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient account.

Incumbents work independently and have a strong Customer Service, analytic and problem-solving skills, and can understand, interpret, and explain payor contracts and CSMC Billing and Collections Policy and Practices 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. Submits appeals and collect monies relative to physician reimbursement. Basic knowledge of basic accounting principles and healthcare billing and collection practices.
Detailed knowledge of medical terminology and coding (ICD, CPT, HCPCS, procedure, bill type, diagnosis and revenue codes).
Detailed knowledge and understanding of regulatory and CSHS policies and procedures governing billing and collections.
Effectively monitoring assigned work queues and workload, ensuring resolution of accounts in a timely and accurate manner.
Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and departments.
Ability to understand and analyze different bill types and their purpose and or billing process as needed.
Has computer competency including MS office, Web/Vs, Emdeon and CS-Link.
Typing 40 to 45 wpm (45 to 50 wpm preferred).
Minimum of 4 years of hospital Revenue Cycle experience required.
Collection experience highly preferred.

Experience/Skills Sought:
English speech, spelling, grammar, and simple math skills equivalent to high school level required.

Must possess computer competency comprised of a detailed knowledge of MS office, Web Vs, Hospital Patient Financial Service Billing Application, ie Emdeon, Availity and CS-Link.

Detailed knowledge and understanding of regulatory and CSHS policies and procedure governing billing and collections.
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. 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.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.

Business Entity :
Cedars-Sinai Medical Center

Job Category :
Patient Financial Services
Patient Billing

Overtime Status :
Primary Shift : Day
Shift Duration : 8 hour