Revenue Cycle Specialist I – Commercial Collections
California, United States of America
Full Time
5 hours ago
$24 - $31 USD
No Visa Sponsorship
About this role
Role Overview
Provides billing support to Patient Financial Services, performing duties which include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc.
Participates in department meetings and provides feedback to management on how to improve department processes.
Adheres to instructions, verbal and written, to achieve desired results.
Adheres to documentation standards of the department and properly uses activity codes.
Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.
Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner.
Takes initiative on issues and/or problems by advancing them to supervisor.
Processes incoming correspondence, based on reason code, timely and accurately.
Ensures information on the account is complete and accurate. Adheres to payment timeline protocol.
Assists other team members with resolution of accounts when needed.
Demonstrates detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems and uses them effectively and efficiently.
Requirements
High school graduate or GED required. Associate degree or college diploma preferred.
A minimum of 1 years of hospital or professional billing and/or collections experience required.
Experience with MS office, Web/Vs, Availity, and CS-Link preferred.
Experience with Commercial payers including: Aetna, Blue Cross, Blue Shiels, Unit Care processes and regulations highly preferred.
Solid understanding of regulatory and CSHS policies and procedures. Basic understanding of HIPAA and other privacy information guidelines.
Ability to perform business math.
Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention and organize work to complete assignments in a timely, accurate manner.