The Physician Billing Coordinator II provides billing, coding and educational support to clinical areas in the scope of coding, reimbursement and compliance with payer coding and billing requirements. Coordinates some insurance information by verifying eligibility and the review charges in the EPIC Charge Review Workqueue.
Job Duties and Responsibilities:
Develops and maintains excellent working relationships with staff and providers. Serves as liaison between clinic and Physician Billing Services for which they are responsible for billing.
Serves as a resource for information on coding, billing and compliance.
Accurately reviews assignments of CPT and ICD-10 codes, utilizing various medical reports.
Maintains current CPT and ICD-10 knowledge of assigned areas so that coding remain current.
Verifies insurance eligibility, enters appropriate adjustments to respective patient's accounts and when applicable accepts patient payments.
Works to resolve coding deficiences with review of medical records and financial accounts and advises supervisor of possible recommendations for corrective action to improve third-party reimbursements and to minimize audit liability.
Keeps apprised of rules and regulations affecting coding and reimbursement through appropriate resources.
Initiates charge correction request process.
Acts as a liaison between the patient and Physician Billing Services for billing inquires.
Answer calls from patients for billing inquiries and insurance verification.
High school diploma or GED required.
Two to four (2-4) years of experience in a professional billing setting, including experience in reviewing and interpreting patient medical records using CPT and ICD-10CM coding systems.
Knowledge of physician billing practices and third-party reimbursement guidelines and adjudication systems.
EPIC experience highly preferred.
Working Title: Physician Billing Coordinator II - Kerlan-Jobe Institute
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major t...eaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.