Fin Care Specialist I (Customer Service)

Job Description

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.

What you will be doing in this role:

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. Incumbents must work independently and have strong customer service skills and are able to 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 problem solving 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 complies with 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 utilizes 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 escalating them to supervisor.
• Adheres to documentation standards of the department. Properly 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 correct account collection for hospital 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.

Qualifications

Requirements:

• High School Diploma/GED required. Associate degree in business administration or another 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.

Why work here?

Beyond outstanding employee benefits including health and dental insurance, paid vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.