Revenue Cycle Specialist III (Anesthesia)

Job Description This Revenue Cycle Specialist III works under general supervision and follows established practices, policies, and guidelines of Revenue Cycle Management supporting Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow‑up activities, updating information on patient accounts, reviewing and processing credits, posting payments, and account reconciliations. This level requires expert knowledge, skill, and proficiency in CS‑Link functions and multi‑specialty areas of the revenue cycle. The incumbent has an understanding of regulatory requirements, payor contracts, and CSHS policies governing billing and collections, and can research, analyze, and resolve complex cases and problem accounts with minimal assistance. The position may serve as a technical resource and is cross‑trained in other revenue cycle functions. Responsibilities Develops and maintains excellent working relationships with Cedars‑Sinai Clinical Departments, external clients, and patients, identifying, analyzing, resolving, and responding to inquiries and concerns. Responds to patient, insurance company, and other authorized third‑party inquiries, including return of calls and research needed to bring account to final resolution. Recommends improved operational processes so that billing information is received from client groups in a timely and accurate manner. Maintains current CPT and ICD‑10 knowledge of assigned areas for accurate assessment of charge review. Creates manual invoices and follows up for payment, directing billing to the correct entity (Vision Plan, Personal Family, or Non‑Covered). Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate charge capture, enhancing third‑party reimbursement and minimizing audit liability. Attends huddles as requested and participates in group problem‑solving. Escalates fee schedule discrepancies and system errors. Remote Eligibility Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas. Qualifications High School Diploma or GED required; college level courses in Finance, Business or Health Insurance preferred. Minimum of 4 years of professional and/or hospital revenue cycle billing experience required; professional billing experience highly preferred. Experience following up on claims or appealing denied claims in Anesthesia is a plus. Experience We Are Seeking Physician billing experience. Basic computer and navigation skills; experience with MS Office, Epic, and CS‑Link preferred. Working knowledge of regulatory and CSHS policies and procedures preferred. Basic understanding of HIPAA and other privacy information guidelines preferred. Ability to perform relevant business math (addition, subtraction, multiplication and division). Good verbal and written communication skills. Keyboard and data entry proficiency. Ability to handle multiple tasks in a fast‑paced, high‑volume environment with conflicting demands; prioritize and organize work to complete assignments in a timely, accurate manner. Professional and courteous demeanor. Benefits Beyond extraordinary benefits, paid time off, competitive salaries, and health and dental insurance, our employees enjoy a culture of diversity, inclusion, and innovation that supports excellent patient care. #J-18808-Ljbffr Cedars-Sinai