Lung Transplant Financial Services Specialist

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. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We an outstanding benefits package that includes health insurance, paid vacation, and a 403 (b). Join Us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What you will be doing in this Role: Performs daily reconciliation of hospital billing charges. Generates reports from medical database and CS Link data warehouse. Creates and maintains internal databases to track transplant volumes, productivity, and performance metrics. Compiles and summarizes data for presentations and may present findings to management. Collaborates with managed care, hospital billing and professional billing liaisons for optimal financial procedures. Reconciles patient accounts for error and patient complaints regarding billing. Performs insurance verification for eligibility and transplant benefits. Financial clearance of all outpatient transplant clinics, fibro scans, specialty drug infusions and procedures. Provides financial counseling, submits appeals and coordinates peer-to-peer reviews. Performs surgeon organ procurement billing and collection. Create transplant case rate notifications for professional fee disbursement. Audits encounters for Medicare cost report validation. Performs charge integrity open encounter resolution. Knowledge of Medicare, Medi-Cal and commercial managed care regulatory billing guidelines to resolve claim authorization issues. Works closely with transplant multidisciplinary team to improve financial outcomes. Supports the Professional Billing work queues by reviewing and correcting errors in patient accounts. We an outstanding benefits package that includes health insurance, paid vacation, and a 403 (b). #J-18808-Ljbffr Cedars-Sinai Medical Center