Job Posting: The Sr. Hospital Collector 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. Prepares 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. Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring. EEO / AA / F / M / Veteran / Disabled
Qualification Requirements/Preferences: Education Certifications/Licensure Experience Physical Abilities Educational Requirements: Minimum high school diploma. College level courses in business and health insurance. Experience: Five (5) years hospital billing and collections experience. 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. Computer literacy, interaction and keying skills and 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. 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: (e.g., lifting, standing, walking) Walking, standing, sitting, lifting, bending, reaching and computer use.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scien...tists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.