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Modesto

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

    Cedars-Sinai background
    Accounting / Finance
    Description

    Job Description

    Align yourself with a top-notch organization known for its excellence. Cedars Sinai has been recognized with the National Research Corporation's Consumer Choice Award for 19 consecutive years, showcasing our commitment to delivering top-quality medical care in Los Angeles. Come be a part of our team and discover why U.S. News & World Report consistently ranks us as one of America's Best Hospitals.

    WHAT YOU'LL BE DOING IN THIS ROLE:

    Working under general supervision, you'll provide crucial commercial collections support to Patient Financial Services. This may involve tasks such as reviewing and resubmitting claims to third-party payors, conducting account follow-ups, and updating account information. Individuals in these positions are expected to have advanced knowledge in specialized functions, a comprehensive understanding of the revenue cycle, as well as excellent customer service, analytical, and problem-solving skills. You'll work independently, possess the ability to interpret and clarify payor contracts and CSMC billing/collection policies, and may assist other team members when needed.

    This role may also involve cross-training in other revenue cycle functions and providing backup assistance. As a Revenue Cycle Specialist II, you will:

    • Participate in department meetings and offer constructive feedback to management for process improvement.
    • Adhere to documentation standards, accurately enter data, and maintain speed and accuracy levels.
    • Effectively manage work queues to ensure timely resolution of accounts, taking proactive steps to escalate issues to supervisors.
    • Demonstrate professionalism, responsibility, accountability, and ethical behavior.
    • Handle incoming correspondence promptly and accurately based on reason codes.
    • Ensure account information completeness and accuracy while following payment timeline protocols.
    • Demonstrate proficiency in utilizing Cedars-Sinai's core patient accounting systems efficiently.

    Qualifications

    REQUIREMENTS:

    • High school diploma or GED required.
    • Minimum of two years of hospital or professional billing/collections experience required (four or more years preferred).
    • Proficiency in English (reading, writing, speaking, and understanding).

    EXPERIENCE WE ARE LOOKING FOR:

    • Preferred experience in hospital revenue cycle.
    • Basic computer skills and familiarity with MS Office, Web/Vs, Emdeon, and CS-Link.
    • Understanding of regulatory and CSHS policies and procedures.
    • Basic knowledge of HIPAA and privacy information guidelines.
    • Ability to handle business math, good communication skills, keyboard proficiency, and multitasking abilities.
    • Capable of prioritizing work efficiently in a fast-paced, high-volume environment.
    • Professional and courteous demeanor.

    WHY JOIN US?

    Aside from competitive employee benefits like health and dental insurance, vacation time, and a 403(b) retirement plan, we pride ourselves on recruiting top talent. Our diverse and accomplished staff mirrors the communities we serve and underscores our commitment to fostering an innovative, inclusive work environment.



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