Fin Care Specialist I (Customer Service)

Cedars-Sinai is a highly regarded healthcare organization recognized for excellence in patient care. The Fin Care Specialist I will provide patient relations support to Patient Financial Services, addressing customer inquiries and issues while ensuring timely resolution and payment of accounts.

Responsibilities:

• Applies detailed knowledge of and follows all hospital and department policies, procedures (e.g., PHI, PFS employee handbook)
• Demonstrates detailed knowledge of Cedars-Sinai’s core patient accounting systems and/or department specific systems and uses them effectively and efficiently
• 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 the supervisor
• Adheres to documentation standards of the department. Accurately uses activity codes. Notes are clear and concise. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy
• Completes all necessary research and account follow-up activities to resolve inquiries and/or customer complaints. Ensures that the resolution completed meets the patient’s needs
• Responds to patient, insurance company and other authorized third-party inquiries, including return of calls and research needed to bring account to final resolution
• Negotiates and documents payment plans within established policies
• Achieves timely and accurate account collection for hospital and professional services. Responsible for initiating collection calls to patients and insurance companies to collect on unresolved accounts. Maintains A/R per department protocol. Reviews accounts on continuing basis and refers uncollectible accounts to collection agency or attorney on a timely basis. Ensures account is routed to appropriate work queue for approval
• Responds timely, effectively, and appropriately to deliverables
• Shares knowledge, time, and expertise to assist other members of the team
• Ensures practices and procedures are inclusive of interpersonal and cultural diversity
• Identifies and responds appropriately to both internal and external customer needs using available resources

Requirements:

• High School Diploma/GED required
• A minimum of 1 year of hospital billing or professional billing and/or Collection experience with customer service and call center experience required
• Associate degree in business administration or another related major or college level courses in finance, business, or health insurance