Job Description
The Revenue Recovery Specialist is responsible for processing and reporting revenue recovery activities, including insured services, stop loss and third-party liability.
Job Duties and Responsibilities:
Reviews and pursues recoveries on all outstanding insured services monthly billings.
Ensures the Insured Service data base is current with billings, and payment files.
Produces monthly and adhoc reports
Completes all insured service CERTS as required by United HealthCare and submits for payment
Monitors high-cost cases and bills for stop loss recoveries
Prepares claims listings for third party liabilities recoveries
Qualifications
Education:
High school diploma or GED required.
Bachelor's degree in Finance, Accounting or Healthcare Administration preferred.
Experience:
One (1) year experience in healthcare claims, finance or accounting department.
About Us
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research.
Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service.
Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients.
Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals.
Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
About the Team
Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.
S.
, with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff.
Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.
Req ID : HRC1292449
Working Title : Revenue Recovery Analyst - Accounting
Department : MNS Accounting
Business Entity : Cedars-Sinai Medical Center
Job Category : Patient Financial Services
Job Specialty : Revenue Integrity
Overtime Status : NONEXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $18.
00 - $26.
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