Revenue Cycle Specialist III – Anesthesia

🕒 April 27

🏄 California – Remote

🏄 California – Remote

💵 $25 - $38 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Cedars-Sinai

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10,000+ employees

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.

📋 Description

• Works under general supervision and follows established practices, policies, and guidelines of Revenue Cycle Management supporting Professional Fee billing and collections. • Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient accounts, reviewing and processing credits, posting payments, and account reconciliations. • Positions at this level require expert knowledge, skill and proficiency in CS-Link functions and multi-specialty 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. • Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients. • Makes recommendations for improved operational processes so that billing information is received from client groups in a timely and accurate manner. • Keeps informed if rules and regulations affect coding and reimbursement by maintaining current CPT and ICD-10 knowledge of assigned areas for accurate assessment of charge review. • Creates manual invoices and follows up for payment. Distributes payments to avoid inaccurate billing to patients. • Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate charge capture, enhancing third-party reimbursement and minimizing audit liability. • Attends huddles as requested and participates in group problem-solving.

🎯 Requirements

• High School Diploma or GED required. College level courses in Finance, Business or Health Insurance are preferred. • Minimum of 4 years of professional and/or hospital revenue cycle billing experience required. Professional billing experience highly preferred. • Experience following up on claims or appealing denied claims in Anesthesia a plus. • Physician billing experience • Basic computer and navigation skills. Experience with MS office, Epic, and CS-Link preferred. • Working knowledge and understanding of regulatory and CSHS policies and procedures preferred. • Basic understanding of HIPAA and other privacy information guidelines preferred. • Ability to perform relevant business math (including addition, subtraction, multiplication and division) • Good verbal and written communication skills. • Keyboard and data entry proficiency. • Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner. • Professional and courteous demeanor.

🏖️ Benefits

• Health care • Paid time off • 403(B)