- High school graduate or GED required.
- Ability to read, write, understand and speak English effectively.
- A minimum of three years professional/physician billing and/or Collection experience – CMS1500 experience a plus. This physician billing experience includes corresponding with patients and insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures. Experience with reading Explanation of Benefits (EOB) statements.
- Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, Modifiers, procedure, bill type, diagnosis, and revenue codes).
- Experience with MS office, Web/Vs, Availity and CS-Link preferred.
- Expert knowledge of regulatory and CSHS policies and procedures. Basic understanding of HIPAA and other privacy information guidelines
- Ability to perform business math.
- Successful completion of PRMPT 1.
- Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.
- Minimum 3 years experience in Commercial and Government billing and follow up. Office visits, procedures, outpatient and inpatient preferred.
- Ability to interpret regulations for Commercial Ins, CMS or Medi-Cal
- Professional and courteous demeanor.
-
Revenue Cycle Specialist Ii
3 weeks ago
CEDARS-SINAI Torrance, United States**What will you be doing in this role?** · In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need further research in ord ...
-
Cycle Revenue Specialist
1 week ago
FirstSteps for Kids, Inc. Los Angeles, United States**About FirstSteps** · The FirstSteps Team is inspired by the belief that every child deserves the opportunity to achieve their fullest potential. To that end, our mission is twofold: to provide the best evidence-based, behavior analytic treatment to our children diagnosed with a ...
-
Revenue Cycle Specialist III
1 week ago
CEDARS-SINAI Torrance, United StatesJob 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, re ...
-
Revenue Cycle Specialist III
1 week ago
Cedars-Sinai Torrance, United StatesJob 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, re ...
-
Revenue Cycle Specialist II
6 days ago
Cedars-Sinai Torrance, United States**Job Description** · Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, perf ...
-
Revenue Cycle Specialist III
3 weeks ago
Cedars-Sinai Torrance, United StatesJob 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, rev ...
-
Revenue Cycle Specialist III
3 weeks ago
Cedars-Sinai Torrance, United States**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 ...
-
Revenue Cycle Specialist III
3 weeks ago
Cedars-Sinai Torrance, United StatesJob 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, rev ...
-
Revenue Cycle Specialist II
3 weeks ago
Cedars-Sinai Redondo Beach, United StatesJob Description · Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performi ...
-
Revenue Cycle Specialist II
3 weeks ago
Cedars-Sinai Redondo Beach, United StatesJob Description · What will you be doing in this role? · Under general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties ...
-
Revenue Cycle Specialist II
3 weeks ago
Cedars-Sinai Redondo Beach, United StatesJob Description · What will you be doing in this role? · Under general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties ...
-
Revenue Cycle Specialist II
3 weeks ago
Cedars-Sinai Lawndale, United StatesJob Description Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing ...
-
Revenue Cycle Specialist
2 weeks ago
Laboratory Services LLC Costa Mesa, United StatesJob Description · Job DescriptionOur growing company is seeking a highly motivated and positive individual with great organizational and communication skills to join our team as a Revenue Cycle Specialist. This position is responsible for the tracking and maintaining the revenue ...
-
Revenue Cycle Specialist II
1 week ago
CEDARS-SINAI Pasadena, United StatesJob Description · Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performi ...
-
Revenue Cycle Specialist III
1 week ago
CEDARS-SINAI Los Angeles, United StatesJob Description · Align yourself with an organization that has a reputation for excellence 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. We also were awarded the ...
-
Revenue Cycle Specialist IV
1 week ago
CEDARS-SINAI Whittier, United StatesJob Description · What you will be doing in this role: · Under general supervision and following established practices, policies, and guidelines, outpatient billing and collections support, performing duties which may include reviewing and submitting claims to third party payor ...
-
Revenue Cycle Specialist III
1 week ago
CEDARS-SINAI Los Angeles, United StatesJob Description · Would you like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? Align yourself with an organization that has a reputation for excellence Cedars Sinai was awarded the National Research Corporation ...
-
Revenue Cycle Specialist II
1 week ago
CEDARS-SINAI Studio City, United States OTHERJob Description · What will you be doing in this role? · Under general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing dutie ...
-
Revenue Cycle Specialist II
1 week ago
CEDARS-SINAI Studio City, United StatesJob Description · Align yourself with an organization that has a reputation for excellence 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. We also were awarded the ...
-
Revenue Cycle Specialist III
3 weeks ago
Cedars-Sinai Los Angeles, United States OTHERJob Description · Would you like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? Align yourself with an organization that has a reputation for excellence Cedars Sinai was awarded the National Research Corporation ...
Revenue Cycle Specialist II - Torrance, United States - Cedars-Sinai
Description
Job Description
What will you be doing in this role?
Under general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating patient registration on accounts, etc. Positions at this level require expert knowledge, skill and proficiency in specialized functions and multiple 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, specialties, and provide back-up coverage.
In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution. You will work with minimal direction from management to ensure the integrity of the work performed. We work in a team environment to fulfill the mission and goals of the Department.
QualificationsRequirements:
Experience We are Seeking:
Working Title : Revenue Cycle Specialist II
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 : $ $33.11
