Financial Services Specialist

Cedars-Sinai La Cañada Flintridge, CA 2019-07-10

Summary Of Essential Job Duties:

Provides financial support to the Comprehensive Transplant Center.
  • Ensures compliance with the organization's financial procedures.
  • Verifies and obtains insurance authorizations prior to Evaluation, Transplantation, transplant related procedures, diagnostic tests, and consults.
  • Assists with patient insurance billing and reimbursement.
  • Facilitates inpatient admission of patients for transplant, hospital to hospital transfers and direct admits from clinic.
  • Provides financial counseling to patients and their families.
  • Monitors and identities changes in regulations and legislation with regard to 3rd party reimbursement for organ transplantation and surgical procedures.
  • Documents all necessary information in CS-Link/Phoenix.
  • Ensures that all insurance information in CS-Link/Phoenix is current and correct.

Education:

High School diploma, Bachelors degree preferred

Experienced preferred:

  • Minimum 3 years healthcare Insurance eligibility, verification, transplant billing/collections experience.
  • Thorough knowledge of Transplant Case Rates, cashing billing regulations, and collection practices.

Skills:

  • Problem-solving ability is essential.
  • Ability to establish priorities and work independently.
  • Excellent verbal and written communication skills and medical terminology skills.
  • Excellent organizational and interpersonal skills.
  • Strong computer skills.
  • Experience in a medical office setting/scheduling of patients.
  • Thorough demonstrated knowledge in Managed Care, Medicare, Medi-Cal, and Capitation Admission requirements.
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