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
Audit paid claims for accuracy
Provide claims reports for TPL recoveries
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.
Working Title: Revenue Recovery Analyst - Accounting
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major t...eaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.
