Lung Transplant Financial Services Specialist

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. 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:

The Financial Services Specialist creates and maintains database systems to store, manage and track information and data for the assigned department. The Financial Services Specialist generates reports using standard report writing from various medical databases and from the CS Link data warehouse. The Financial Services Specialist leads and coordinates data collection and data maintenance for both internal and external users as requested. Develops and maintains quality control systems required to ensure data quality, reliability and integrity. Performs other activities require to maintain efficient, accurate data systems:

• 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.

Qualifications

Requirements:

• Associate degree/college diploma - a minimum of two years college with courses in business, accounting, computer science or comparable education and experience required.
• A minimum of 2 years of financial analysis, accounting, auditing, or related administrative experience, with exposure to healthcare operations including financial clearance, revenue cycle, or transplant financial services preferred.

Skills & Abilities Sought:

Excellent problem-solving and organizational skills.

Good interpersonal and communication skills. Ability to interact effectively with patients, families, clinical staff, and external partners.

Proficient in Microsoft Office and electronic health record systems (e.g., CS-Link/Epic).

Ability to work both independently and collaboratively in a fast-paced environment.

Why work here?

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