Job Abstract

Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents work independently and have strong customer service, analytic and problem-solving skills, and can understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents may assist other team members.

This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II:

• 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 escalating them to supervisor.
• Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.
• 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.

• High school diploma or GED required.
• A minimum of two years’ experience of hospital or professional billing and/or collections experience required. Four years’ experience or more preferred.
• Ability to read, write, understand and speak effectively in English.

• Professional revenue cycle experience preferred.
• Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon 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.