Cedars-Sinai · 3 days ago
Revenue Cycle Specialist III
Torrance, CA
Full-time
Onsite
Mid Level
$25.06/hr - $38.84/hr
4+ years expCedars-Sinai is a renowned healthcare organization recognized for its high-quality medical care. The Revenue Cycle Specialist III role involves managing hospital and professional fee billing and collections, ensuring accurate claims submission, and resolving complex account issues while serving as a technical resource for others.
CommunitiesHealth CareMedicalNon Profit
Responsibilities
Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client’s inquiries, concerns, and issues, and following up on accounts to ensure resolution
Make recommendations for improved operational processes so that billing information is received from client groups in a timely and accurate manner
Keeps informed 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
Inputs specialty or cosmetic charges, creates manual invoices and follows up for payment
Directs billing to the correct entity i.e. (Vision Plan, Personal Family, or Non-Covered)
Distributes payments to avoid inaccurate billing to patients
Discusses cash pricing for cosmetic services and cash packages with patients and manages credits for package and/or cosmetic services
Identifies and advances new services for appropriate pseudo-code creation
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
Review accounts on OCS report with providers to identify balances approved or declined for further collection activity
If approved, initiate collection 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
Attends specialty clinical huddles as requested and participates in group problem-solving
Escalation of fee schedule discrepancies and system errors
Qualification
Required
High School Diploma or GED required
Minimum of 4 years of professional and/or hospital revenue cycle billing experience required
Follow-up collection experience sought
Preferred
College level courses in Finance, Business or Health Insurance preferred
Professional billing experience highly preferred
Experience with workers' compensation a plus
Benefits
Health care
Dental
Vision
Paid time off
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.
10001+ employees
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
Thomas Priselac
President/CEO
David Wrigley
Executive Vice President Finance, CFO and Treasurer
Recent News
Medical Xpress - latest medical and health news stories
2025-12-17
Medical Xpress - latest medical and health news stories
2025-12-17
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