Physician Billing Coordinator II - The Angeles Clinic & Research Institute (Santa Monica)

Cedars-Sinai Medical Center•Santa Monica, CA

39d

About The Position

The Physician Billing Coordinator II performs all duties related to registration and the gathering of insurance and eligibility information. This role involves editing charge encounters in Epic for accuracy, evaluating accounts for write-offs or corrections, and verifying insurance according to defined parameters. The coordinator ensures appropriate documentation is received before patient appointments, communicates with patients regarding their financial status and options if insurance is unconfirmed, and follows policies for third-party sponsorship, discount policies, and Medi-Cal/charity applications. They are responsible for timely and accurate account registration, ensuring all required fields are entered, and managing patient payments. The role also includes reconciling cash receipts, meeting efficiency goals, escalating issues to the Supervisor, participating in policy development, and handling correspondence confidentially. Collaboration with other PBCs and front office staff to resolve issues and answering patient inquiries are also key aspects of the position.

Requirements

High school diploma/GED preferred.
Bachelor degree from an accredited college or university preferred.
Two (2) years experience in a surgical office setting preferred.

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.
Registers 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.