Offer summary

Qualifications:

High school diploma or GED required; Bachelor's degree in Finance, Accounting, or Healthcare Administration preferred., One year of experience in healthcare claims, finance, or accounting department is necessary..

Key responsabilities:

Process and report on revenue recovery activities, including insured services and third-party liability.

Review and pursue recoveries on all outstanding insured services monthly billings.

Ensure the Insured Service database is current with billings and payment files, producing monthly and ad-hoc reports.

Monitor high-cost cases and prepare claims listings for third-party liabilities recoveries.

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. Today, Cedars-Sinai is widely known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai receives consistent recognition for our excellence. Our awards include; being named one of America’s Best Hospitals by U.S. News & World Report, receiving the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles, achieving the longest-running Magnet designation for nursing excellence in California, and being recognized as The Advisory Board Company’s 2017 Workplace of the Year, an award Cedars-Sinai has won three years in a row. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Cedars-Sinai is a leader in the clinical care and research of heart disease, cancer and brain disorders, among other areas. Pioneering research achievements include using cardiac stem cells to repair damaged hearts, developing minimally invasive surgical techniques and discovering new types of drugs to target cancer more precisely. Cedars-Sinai also impacts the future of healthcare through education programs that encompass everything from highly competitive medical residency and fellowship programs to a biomedical science and translational medicine PhD program, advanced training for nurses and educational opportunities for allied health professionals. Most notably, Cedars-Sinai demonstrates a longstanding commitment to strengthening the Los Angeles community through wide-ranging programs that improve the health of its most vulnerable residents.

Job description

Job Description

The Revenue Recovery Specialist is responsible for processing and reporting revenue recovery activities, including insured services, stop loss and third-party liability.

Job Duties and Responsibilities:

Reviews and pursues recoveries on all outstanding insured services monthly billings.
Ensures the Insured Service data base is current with billings, and payment files. Produces monthly and adhoc reports
Completes all insured service CERTS as required by United HealthCare and submits for payment
Monitors high-cost cases and bills for stop loss recoveries
Prepares claims listings for third party liabilities recoveries

Qualifications

Education:

High school diploma or GED required. Bachelor's degree in Finance, Accounting or Healthcare Administration preferred.

Experience:

One (1) year experience in healthcare claims, finance or accounting department.

About Us

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About The Team

With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai’s medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.

Req ID : 4757

Working Title : Revenue Recovery Analyst (Accounting) - Remote

Department : MNS Accounting

Business Entity : Cedars-Sinai Medical Center

Job Category : Patient Financial Services

Job Specialty : Revenue Integrity

Overtime Status : NONEXEMPT

Primary Shift : Day

Shift Duration : 8 hour

Base Pay : $21.00 - $27.57

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