Healthcare, Hospitals & Clinics, Medical Research

Revenue Cycle Specialist II (Physician Billing)

RemoteRemoteFull TimePosted 1 month agoVisa sponsorship availableHidden Gem · Himalayas

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Required skills

Commercial billing
Government billing
multi-specialty claims
account follow-up
patient registration
physician reimbursements
problem accounts
technical resource
subject matter expert

Nice to have

CSHS policies

Role summary

Cedars-Sinai is seeking a Revenue Cycle Specialist II with expertise in physician billing. This role provides commercial and government billing and collections support, including claim submission, account follow-up, and resolving complex accounts. The specialist will possess expert knowledge of regulatory requirements, payor contracts, and CSHS policies, acting as a subject matter expert for the team. Responsibilities include billing, submitting appeals, and collecting payments for physician reimbursements, working with minimal direction in a team environment. Approved remote states include AZ, CA, CO, FL, GA, MN, NV, OR, and TX.

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an outstanding benefits package that includes health care, paid time off, and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.

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.

Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*

Originally posted on Himalayas

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