Cedars-Sinai · 3 hours ago
Revenue Cycle Specialist I
Cedars-Sinai is a renowned healthcare organization recognized for its excellence in medical care. The Revenue Cycle Specialist I role involves providing billing support to Patient Financial Services, including submitting claims, account follow-up, and maintaining relationships with clients and patients.
CommunitiesHealth CareMedicalNon Profit
Responsibilities
Develops and maintains excellent working relationships with Cedars-Sinai Medical Network, Primary Care Clinical Departments, external clients, and patients. Performs duties that include identifying, analyzing, resolving, and responding to our client’s inquiries, concerns, issues, and following up on accounts to ensure resolution
Serves as liaison between CSRC Services and Clinical Departments in the coordination of Department-Specific Responsibilities Additional primary duties and responsibilities that are only performed in the specific department(s) below: Department Duties and Responsibilities billing through charge capture to maximize reimbursement. Responds to patients and guide them through external billing processes, such as CSI, Quest, or other outside entities. Also responds to insurance companies, and other authorized third-party inquiries, including the return of calls and research needed to bring accounts to final resolution. Keeps apprised of rules and regulations affecting coding and reimbursement by maintaining current CPT and ICD-10 knowledge of assigned areas for accurate assessment of charge review
Review accounts on OCS report with providers to identify balances approved or declined for further collection activity. If approved, initiate calls to patients to collect on unresolved balances. If declined, set notification in OCS report format to ensure the account is routed to the appropriate work queue for final resolution. Escalation of fee schedule discrepancies and system errors
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 calling them out 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
Adheres to payment timeline protocol and 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
Qualification
Required
High school graduate or GED required
A minimum of 1 year of hospital or professional billing and/or collections experience required
Preferred
College level courses in finance, business, or health insurance preferred
Medicare/managed care follow-up experience a plus
Benefits
Health and dental insurance
Vacation
403(b)
Company
Cedars-Sinai
Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service.
H1B Sponsorship
Cedars-Sinai has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (105)
2024 (91)
2023 (81)
2022 (92)
2021 (92)
2020 (65)
Funding
Current Stage
Late StageTotal Funding
$63.31MKey Investors
American Academy of Orthopaedic SurgeonsCalifornia HealthCare FoundationNational Heart, Lung and Blood Institute
2023-12-01Grant· $0.01M
2023-05-25Grant· $28M
2022-06-16Grant· $7M
Leadership Team
Recent News
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