Cedars-Sinai Senior Hospital Collector in Los Angeles, California

Requisition #: 27470
Working Title: Senior Hospital Collector
Business Entity: CSMC - Cedars-Sinai Medical Center
Cost Center # - Cost Center Name: 0855001 - COLLECTIONS
City: Los Angeles
Job Category: Finance/Patient Financial Services
Job Specialty: Patient Accounting
Position Type: Regular-F/T
Shift Length: 8hr
Hours: 8am - 4:30pm
Days: Monday - Friday
Shift Type: Day
Weekends: None

Job Posting: Summary of Essential Job Duties:

Improves revenue cycle capture accuracy as a result of analyzing CSMC Managed Care Contracts and reconciling to payments received; successfully collecting underpayments from insurance carriers; accurately and consistently documenting the results of all audits and subsequent payments in the hospital information system; submits appeals; preparing reports as required by management regarding audit results, process improvement recommendations and systemic payment errors, and providing monthly observations and recommendations to prevent future cash losses from managed care payment variances.

Educational Requirements:

Minimum high school diploma. College level courses in business and health insurance. Five + years hospital billing and collections experience.

Experience:

Computer literacy, interaction and keying skills; full competency MS Office.

Ability to interact with, understand and update patient accounting applications used to manage patient accounts.

Verbal and written communication to handle inquiries from patients, patient representatives or insurance companies.

Detail and problem-solving aptitude.

Knowledge of basic accounting principles and healthcare billing and collections practices.

Knowledge and understanding of CSHS policies and procedures governing credit balances and resolution of CSHS provider contracts with insurance companies.

Ability to interpret and discuss insurance explanations of benefits and payments.

Ability to meet production and quality expectations on a weekly/monthly basis.

Ability to perform complex mathematical calculations.

Ability to use correct forms, codes to process and document work.

Demonstrated ability to prioritize and organize work and complete assignments in a timely and accurate manner.

Ability to function effectively and productively under conflicting demand on time and attention.

Ability to assist management with special projects.

Ability to assist staff with concerns and issues in the event that management is unavailable.

Physical Demands:

Walking, standing, sitting, lifting, bending, reaching and computer use.

Qualification Requirements/Preferences:

Education Certifications/Licensure Experience Physical Abilities Educational Requirements:

Minimum high school diploma. College level courses in business and health insurance. Five + years hospital billing and collections experience.

Experience:

Computer literacy, interaction and keying skills; full competency MS Office.

Ability to interact with, understand and update patient accounting applications used to manage patient accounts.

Verbal and written communication to handle inquiries from patients, patient representatives or insurance companies.

Detail and problem-solving aptitude.

Knowledge of basic accounting principles and healthcare billing and collections practices.

Knowledge and understanding of CSHS policies and procedures governing credit balances and resolution of CSHS provider contracts with insurance companies.

Ability to interpret and discuss insurance explanations of benefits and payments.

Ability to meet production and quality expectations on a weekly/monthly basis.

Ability to perform complex mathematical calculations.

Ability to use correct forms, codes to process and document work.

Demonstrated ability to prioritize and organize work and complete assignments in a timely and accurate manner.

Ability to function effectively and productively under conflicting demand on time and attention.

Ability to assist management with special projects.

Ability to assist staff with concerns and issues in the event that management is unavailable.

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Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of 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, 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. If you need a reasonable accommodation for any part of the employment process, please contact us by email at and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.