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.

Duties and Responsibilities:

• 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.

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.