Job Information
Cedars-Sinai Financial Care Specialist Lead- Customer Service in Beverly Hills, California
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. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.
What you be doing in this role:
Under general supervision and following established practices, policies, and guidelines. Provides Supervisor and Manager support to Patient Financial Services performing duties which include identifying, analyzing, and resolving problem accounts within CS-Link, i.e., Cash Management (CM), Hospital Billing (HB), Physician Billing (PB) Remittance, Electronic Data Interchange (EDI), Errors by Payor – Payor Level Adjustment (PLB), reconcile and balance payor payments, preparing various reports, i.e., General Ledger, Grant & Fund and Journal Voucher Entry.
Positions at this level require expert knowledge, skill and proficiency in specialized functions and multiple areas of the Revenue Cycle. This position is a Lead role and is responsible for handling the day-to-day operations of the Cash Management Unit, assigning and or reviewing work assignments of four to seven-line staff, ensuring payor files, cash records is processed timely. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and Cedars-Sinai Health System (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 Supervisor. This position may be cross trained in other Revenue Cycle functions and provide back-up coverage. You will:
Apply detailed knowledge of and follow all hospital and department policies, procedures (e.g., PHI, PFS employee handbook).
Demonstrate detailed knowledge of Cedars-Sinai’s core patient accounting systems and/or department specific systems and uses them effectively and efficiently.
Effectively monitor assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Take initiative on issues by calling them out to supervisor.
Adhere to documentation standards of the department. Properly uses activity codes. Notes are clear and concise. Correctly enters data in fields. Maintain acceptable levels of speed and accuracy.
Complete all necessary research and account follow-up activities to resolve inquiries and/or customer complaints. Ensures that the resolution completed meets the patient’s needs.
Effectively responds to patient, insurance company and other authorized third-party inquiries, including return of calls and research needed to bring account to final resolution.
Negotiate and document payment plans within established policies.
Assumes lead role in the absence of the Supervisor or Manager. Assist in the training of staff on CSMC policies and procedures. Assist management with updating policies, procedures and job aids when needed.
Assure that daily productivity standards and department goals are met and exceeded by monitoring staff and reviewing daily production reports. Provides feedback to staff and supervisors/manager regarding quality and production standards.
Assist with hiring processes by conducting interviews and providing feedback.
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Qualifications
Requirements:
High school diploma/GED required. College diploma in business healthcare administration or a related major preferred.
College level courses in Finance, Business or Health Insurance preferred
A minimum of 5 years of Hospital billing and/or Collection experience including customer service and call center experience required.
Skills/Experience We are Seeking:
Proven ability to handle multiple tasks frequently and with short timelines, to prioritize and organize work and to complete assignments in a timely accurate manner.
Professional and courteous demeanor. Ability to work and communicate well with others. Demonstrated Customer Service skills. Excellent verbal and written communications.
Self-motivated exhibiting a strong sense of responsibility.
Superior knowledge and understanding of regulatory and CSHS policies and procedures governing billing and collections.
Proven ability to compose letters, policies, procedures, job aids and reports on own initiative; ability to organize complex statistical and narrative reports, charts and exhibits into a complete document suitable for publications and distribution.
Superior knowledge of basic accounting principles and healthcare billing and collection practices.
Must possess computer competency comprised of a detailed knowledge of MS office, Web Vs, Hospital Patient Financial Service Billing Application, i.e., Emdeon, Availity and CS-Link.
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.
Req ID : 5119
Working Title : Financial Care Specialist Lead- Customer Service
Department : CSRC Customer Service and Self-Pay
Business Entity : Cedars-Sinai Medical Center
Job Category : Patient Financial Services
Job Specialty : Patient Billing
Overtime Status : NONEXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $29.87 - $46.30
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.