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Revenue Cycle Specialist IV

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Requisition # HRC0992040

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row 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 high levels of employee engagement. We provide an outstanding benefit package, along with competitive compensation. 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:

Responsible for analyzing, monitoring, evaluating and resolving account stop bills and DNBs. Identifies, A/R system issues, contract discrepancies, complex payor errors and credit balance evaluation. Performs summary review and validation of credit accounts and approval of commercial payor refund requests per department guidelines. Responsible for working with other CSMC departments, collection agencies, bad debt vendors and insurance companies to correct errors, underpayments, or work process with little supervision. Reconciles and tracks outsourced and bad debt accounts, verifies and processes vendor’s invoices and prepares various reports and monitoring for vendor performance. Accurately and consistently documents negative results of any vendor assignment, payor issues, and special collection or coverage projects. Identifies systemic errors, makes process improvement recommendations to assure highest revenue recovery possible with most efficient workflow. Incumbent has expert knowledge, skill and proficiency in specialized functions of Payor Plans and Coverage records, and in multiple areas of the revenue cycle, including Physicians Billing, Registration and Payor Contracts. You are able to work through long lists of accounts in a timely manner with minimal direction, be a quick learner, follow detailed instructions, provide feedback on the development of job aids, and track and report production results on a weekly basis. Trouble-shoot system problems and document improvement opportunities. May perform recurring data compilations from varied sources to inform management team of receivables status. May coordinate or monitor progress of special projects related to resolving identified accounts receivable concerns or payor plan issues. Serves as a Technical resource (SME) to other departments or collection vendors on adjustments, payment contracts, payor plans and workflows.  May require mandatory overtime hours.


Requirements:

  • High school diploma or GED required. College level courses in finance, business or health insurance preferred.
  • Strong English proficiency, including using proper spelling and grammar, and solid verbal communication skills
  • Business math skills including ability to add, subtract, multiply and divide accurately required.
  • A minimum of five years of hospital billing or collection experience required

Skills/Experience Sought:

  • Able to multi-task and work in a fast-paced environment with conflicting demands on time and attention
  • Strong Verbal and written communication to handle inquiries from management, staff, vendors or insurance companies. Demonstrated ability to maintain excellent rapport and working relationships with all levels of personnel.
  • Expert knowledge of Fair Debt Collection Practices Act preferred.
  • Expert knowledge of eligibility requirements for charity/indigent care plan or third-party carriers such as Medicare, Medi-Cal, work comp, managed care and commercial payors preferred.
  • Demonstrated ability to handle multiple tasks in a fast-paced environment with conflicting demands on time and attention.
  • Demonstrated decision-making, conflict resolution and critical thinking skills.
  • Demonstrated ability to interact effectively with directors, managers, patients, internal staff and representatives from outside agencies.
  • Excellent detail, analytical and problem-solving skills. Ability to quickly adjust to changing workflows.
  • Expert knowledge and understanding of regulatory policies and procedures that govern billing and collections.
  • Ability to independently compose letters, policy statements, procedure manuals and reports.
  • Ability to organize complex statistical reports, charts, and exhibits into a complete document suitable for distribution.
  • Proficient in MS office including word processing, spreadsheets, presentation development, and e-mail. Other systems include: Web/VS, Emdeon, CS-Link.
  • Ability to think and work independently and with little supervision, prioritizing and organizing work to complete assignments in a timely, accurate manner. Uses good judgment for situations which require initiative and innovation.
  • Typing or keyboarding 45 to 50 wpm

Why work here?

Beyond outstanding benefits, paid time off, competitive salaries and health and dental insurance, we take pride in hiring the best employees. Our amazing staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.


Working Title:Revenue Cycle Specialist IV
Department:Director Patient Account
Business Entity:Corporate Services
Job Category:,Patient Financial Services,Patient Financial Services
Job Specialty:Patient Billing
Position Type:Full-time
Shift Length:8 hour shift
Shift Type:Day

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.

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