Job Description

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. We provide an outstanding benefit package that includes healthcare, 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 billing support to Patient Financial Services, performing duties which include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc.. Positions at this level require a basic knowledge of assigned area, and general understanding of department functions and the revenue cycle. Incumbents are expected to organize, prioritize and perform work in a timely manner within established guidelines, practices and procedures. This position may be cross-trained in other office functions and provide back-up coverage. Duties include:

• 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.

Qualifications

Requirements:

• High school graduate or GED required. College level courses in finance, business, or health insurance preferred.
• A minimum of 1 year of hospital or professional billing and/or collections experience required. 
• Commercial collections experience a plus. 

Why work here?

Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished 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.

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About Cedars-Sinai Medical Center

Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competi...tive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.

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