Job Abstract

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

Job Duties and Responsibilities:

• Completes all charge tickets and turns into PBS on a timely basis. Ensures that all required information is included 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 entered.
• 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.
• 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. Review/code imaging charges. Preparing Prompt Pay for cash pay patients.

Education:

High school diploma/GED required. Bachelor degree from an accredited college or university preferred.

License:

Certified Professional Coder (CPC) highly preferred.

Experience:

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