Cedars-Sinai - Los Angeles, CA
posted about 2 months ago
The Revenue Recovery Analyst at Cedars-Sinai plays a crucial role in the financial health of the organization by managing and reporting on revenue recovery activities. This position is responsible for processing recoveries related to insured services, stop loss cases, and third-party liabilities. The analyst will engage in a variety of tasks that ensure the accuracy and timeliness of billing and recovery processes, which are essential for maintaining the organization's revenue stream. In this role, the Revenue Recovery Analyst will review and pursue recoveries on all outstanding insured services monthly billings. This involves ensuring that the Insured Service database is up-to-date with the latest billings and payment files. The analyst will also produce monthly and ad-hoc reports to track recovery progress and identify areas for improvement. Additionally, the analyst will complete all required insured service CERTS as mandated by United HealthCare and submit them for payment, ensuring compliance with regulatory requirements. Monitoring high-cost cases and bills for stop loss recoveries is another critical responsibility of this position. The analyst will prepare claims listings for third-party liabilities recoveries, which requires a keen attention to detail and a thorough understanding of the recovery process. Overall, the Revenue Recovery Analyst will contribute significantly to the financial operations of Cedars-Sinai, ensuring that all revenue recovery activities are conducted efficiently and effectively.