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 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.
On-Site Balance Collection:
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 productivity 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.
Works with mid-level, non-invasive clinics (i.e., EKG); basic knowledge of coding and procedures; 2 years experience in a surgical office setting.
Education Certifications/Licensure Experience Physical Abilities
High School Diploma required; CPC certification a plus but not required.
Minimum of three to five years billing/coding experience in a physician's office or medical group setting. Requires extensive knowledge of third party reimbursement guidelines, adjudication system, benefits and CPT, HCPCS & ICD-9 codes. Prior experience in Cardiology. Knowledge of billing for other specialties, IDX, Epic EMR and Microsoft Outlook also a plus.