Cedars-Sinai · 1 day ago
Revenue Cycle Specialist IV (ENT) - Remote
United States
Full-time
Remote
Senior Level
$27.63/hr - $42.83/hr
5+ years expCedars-Sinai is a renowned medical institution committed to excellence and innovation in patient care. The Revenue Cycle Specialist IV will be responsible for outpatient billing and collections support, ensuring timely and accurate resolution of accounts while serving as a technical resource and subject matter expert within the revenue cycle. This role requires expert knowledge of regulatory requirements and payor contracts, along with strong communication and time management skills.
CommunitiesHealth CareMedicalNon Profit
Responsibilities
Independently responds timely and accurately to all requests. Interacts professionally and courteously with employees and internal and external customers
Effectively communicates, in writing and verbally, with employees and internal and external customers. Actively 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. Assists supervisors in composing policy and procedure manuals and statements for the department. Communication is clear and easy to understand. Thoughts are coherent and logical. Written communication (email, etc.) is appropriate for level being addressed
Effectively manages time. Maintains a clean and orderly workstation. Prioritizes work activities consistent with department goals and can balance daily workload and several projects
Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior. Participates in continuing education activities and promotes a positive and productive working environment. Engages in performance improvement activities within the department. Able to multi-task effectively and is flexible with priorities. Adapts and modifies practices and routines when advised of need to do so, with a positive attitude. Takes initiative independently. Self-directed and rarely needs to consult management or co-workers. Volunteers and accepts special projects and assignments
Applies detailed knowledge of and follows all hospital and department policies, procedures (e.g., PHI). department specific systems and uses them effectively and efficiently. Participants in ongoing education to improve skill
Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Manages workload and priorities to meet deadlines. Takes initiative on issues and/or problems achieving desired results with minimal instruction. Notifies supervisor of issues and/or problems outside scope of authority per department standard
Understands and follows all applicable job aids and processes for unit. Applies “TCR” Touch It, Claim It, Resolve It
Adheres to documentation standards of the department. Properly uses activity codes. Notes are clear and concise. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy
Demonstrates expert knowledge of payor practices, policies and procedures as well as the initiative and ability to problem solve in accomplishing departmental objectives. Monitors payment status of assigned accounts. Independently initiates dialogue with payor and/or patient to ensure resolution of accounts (e.g., responds to additional documentation requests, refers denied accounts to supervisor for advisement on appropriate action). Effectively and efficiently manages account inventory and ensures timely resolution and closure of accounts
Qualification
Required
A minimum of five years of professional billing or collection experience required
Active CPC
High school diploma or GED required
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
Preferred
A minimum of 5 years of professional coding highly preferred
College level courses in finance, business or health insurance preferred
Benefits
Health and dental insurance
Paid vacation
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
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