Financial Care Specialist I (Customer Service)

Financial Care Specialist I (Customer Service) Location Los Angeles, CA :

Align yourself with an organization with a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. We offer an outstanding benefits package that includes healthcare and a generous time-off policy, in addition to competitive compensation. Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.

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Under general supervision and following established practices, policies, and guidelines, provides patient relations support to Patient Financial Services, performing duties which include identifying, analyzing, resolving and responding to customer inquiries, concerns and issues, and following up on accounts to ensure payment and resolution. Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. You will work independently and have strong customer service skills and work well with patients, deescalate issues quickly, able to talk, think and access the system to achieve maximum customer satisfaction. This position requires strong analytic and prioritization skills and the ability to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. This position may be cross-trained in other revenue cycle functions and provide back-up coverage.

• Applies detailed knowledge of and follows all hospital and department policies, procedures (e.g., PHI, PFS employee handbook).
• Demonstrates detailed knowledge of Cedars-Sinai's core patient accounting systems and/or department specific systems and uses them effectively and efficiently.
• Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Takes initiative on issues and/or problems by advancing them to the supervisor.
• Adheres to documentation standards of the department. Accurately uses activity codes. Notes are clear and concise. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.
• Completes 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.
• Responds to patient, insurance company and other authorized third-party inquiries, including return of calls and research needed to bring account to final resolution.
• Negotiates and documents payment plans within established policies.
• Achieves timely and accurate account collection for hospital and professional services. Responsible for initiating collection calls to patients and insurance companies to collect on unresolved accounts. Maintains A/R per department protocol. Reviews accounts on continuing basis and refers uncollectible accounts to collection agency or attorney on a timely basis. Ensures account is routed to appropriate work queue for approval.
• Responds timely, effectively, and appropriately to deliverables.
• Shares knowledge, time, and expertise to assist other members of the team.
• Ensures practices and procedures are inclusive of interpersonal and cultural diversity.
• Identifies and responds appropriately to both internal and external customer needs using available resources.

Qualifications

Requirements:

• High School Diploma/GED required. Associate Degree in Business Administration or a related major or college level courses in finance, business, or health insurance preferred.
• A minimum of 1 year of hospital billing or professional billing and/or Collection experience with customer service and call center experience required.

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

Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most. Req ID : HRC1429313 Working Title : Financial Care Specialist I (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 : $24.34 - $36.51