Job Description

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

Duties and Responsibilities:

• This position is responsible for acquiring imaging, procedure, HMO, and outside services to authorizations, processing hospital and lab charges. Review code imaging charges. Preparing Prompt Pay for cash pay patients.
• 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.
• Follows policies and procedures in looking for third party sponsorship. Participates in the development of unit policies and procedures.
• Follows all applicable rules and policies, such as the discount policy and Medi-Cal and charity applications.
• Communicates appropriately and professionally to patients.
• 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.

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.