Job Description

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

With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.

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