Physician Billing Coordinator III

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

Duties and Responsibilities:

• Completes all charge tickets and turns into PBS on a timely basis. Ensures that all required information is attached to every charge ticket. Appropriately batches all charge tickets.
• 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 obtained prior to patient’s appointment date.
• Monitors patient’s account to understand current financial status and balance. 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. Participates in the development of unit policies and procedures.
• Enters complete and appropriate documentation in IDX notes. Ensures that all information is complete and required fields are entered.
• 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.
• Communicates appropriately and professionally to patients.
• Acquires monies owed from patient. Reconciles cash receipts to cash log.
• Works with other PBCs and front office staff to resolve specific issues impacting unit and develop resolution plans. Meets existing efficiency goals. Elevates issues, as appropriate, to the Supervisor. Handles in a professional and confidential manner all correspondence, documentation and files.
• Answers telephones, patient inquiries, and responds appropriately and timely to written correspondence.
• This position is responsible for acquiring treatment authorizations, processing hospital and lab charges, reviewing code imaging charges, preparing Prompt Pay for cash pay patients.

Qualifications

Education:

High school diploma preferred. Bachelor's degree from an accredited college or university preferred.

License/Certifications:

Certified Professional Coder (CPC) highly preferred.

Experience:

Three (3) years of experience in a surgical office setting.

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 for people throughout Los Angeles and beyond.