Physician Billing Coordinator II - Pacific Heart (Santa Monica)

Job Description

The Physician Billing Coordinator II performs all duties related to registration and the gathering of insurance and eligibility information.

• Edits in Epic the charge encounters when needed to ensure accuracy of information for accurate billing.
• Evaluates accounts to determine any write-offs or corrections required, including duplicate charges.
• Verifies all insurance according to defined parameters.
• Ensures that appropriate documentation has been received prior to patient’s appointment date.
• Appropriately communicates with patient to determine financial status.
• Discusses options with patient if insurance eligibility is not confirmed prior to appointment date.
• Follows policies and procedures in looking for third party sponsorship.
• Enters complete and appropriate documentation in IDX notes.
• Follows all applicable rules and policies, such as the discount policy and Medi-Cal and charity applications.
• Register accounts timely and accurately.
• Ensures that registration occurs prior to patient encounter.
• Ensures that all information is complete, and required fields entered.
• Reviews patient’s account to understand current financial status and balance
• Communicates appropriately and professionally to patients.
• Receives monies owed from patient.
• Reconciles cash receipts to cash log.
• Meets existing efficiency goals.
• Elevates issues, as appropriate, to the Supervisor.
• Participates in the development of unit policies and procedures.
• Handles in a professional and confidential manner all correspondence, documentation, and files.
• Supports CSMNS core values, policies, and procedures.
• Meets weekly with Supervisor.
• Works with other PBCs and front office staff to resolve specific issues impacting unit and develop resolution plans.
• Answers telephones, patient inquiries, and responds appropriately and timely to written correspondence.

Qualifications

Education:

High school diploma/GED preferred.

Experience:

Two (2) years experience in a surgical office setting preferred.