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Biller/Collector IRequisition # M12097 Apply Now
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Follows-up all assigned accounts from within the IDX or PCS system in accordance with pre-established goals with supervision.
Initiates pro-active measures that result in account resolution.
Ensures all conditions for payment receipt have been satisfied, which includes, but not limited to: accurate charges; accurate financial class; authorization/certification/TAR information; claims address; ICD-9 and/or CPT-4 coding, as applicable; patient insurance eligibility, patient benefit coverage; patient responsibilities.
Responds timely and accurately to all in-coming related correspondence and inquiries from payers, patients and other authorized parties. Reports any trends in in-coming correspondence to managers for appropriate follow-up.
Interacts with co-workers and other representatives to obtain required information on a timely basis.
Initiates contact with patients as necessary.
Initiates recommendations and actions for resolving patient accounts; evaluates accounts to determine any write-offs or corrections required, including duplicate charges.
Submits bills to insurance for secondary insurance.
Ensures that all necessary documentation and information is correct according to departmental policies and procedures; ensures that all documentation is complete for submission to determine ultimate action on patient account.
Follows-up on all unpaid accounts on the IDX/PCS system.
Answers telephones, patient inquiries, and responds appropriately to written correspondence relative to a patient's account.
Research’s and prioritizes incoming mail, resubmits denials with proper documentation according to departmental policies and procedures.
Verifies correct initial subscriber billing information and updates information in the system as necessary.
Prepares refund requests for any or all monies due to patient or insurance company as a result of overpayments or forwards requests to appropriate individual in charge of processing refund requests.
Posts adjustments to accounts in accordance with departmental policies and procedures.
Responds to all phone calls form other departments or insurance companies in an efficient and courteous manner.
Demonstrates teamwork and provides assistance with special projects when assigned.
Updates information within the IDX system via BAR and PCS (charges, adjustments, write-offs, bad debt, refunds to patients/insurance companies, and professional courtesies); responsible for processing non-sufficient funds checks and ensures follow-up with those patients in those categories.
Documents actions taken on the patient's account as well as any follow-up that was done, including what the expected outcome should be.
Education Certifications/Licensure Experience Physical Abilities
EDUCATION AND/OR EXPERIENCE:
High school diploma or general education degree (GED); minimum one (1) to three (3) year’s experience performing medical billing functions to include corresponding with patients and insurance companies in resolving patient accounts; extensive knowledge of insurance carrier procedures; experience with reading Explanation of Benefits (EOB) statements; experience with on-line Accounts Receivable system, IDX preferred; knowledge of PC-based software applications (Word, Excel, etc.); type 35+ wpm; proven team player with excellent interpersonal and customer relations skills.
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee frequently is required to stand, walk, and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, depth perception, and ability to adjust focus.
The noise level in the work environment is usually moderate.
Demonstrates behavior which supports the Cedars-Sinai mission. Attends required orientation and training seminars. Meets production standards within established time requirements. Work product and performance meets quality standards. Demonstrates respect and positive interpersonal skills with patients, clients, the public, managers, and co-workers--a team player. Maintains confidentiality of patient care and business matters. Observes time, attendance and dress code standards. Protects the safety of others and of the physical plant and equipment, following institution policies, fire, safety and infection control regulations.
- Working Title: Biller/Collector I
- Business Entity: MDN - Medical Delivery Network
- Cost Center # - Cost Center Name: 0853003 - PHYSICIAN BILLING OFFICE
- City: Torrance
- Job Category: Finance/Patient Financial Services
- Job Specialty: Physicians Billing
- Position Type: Regular-F/T
- Shift Length: 8hr
- Hours: 8:00 a.m. - 4:30 p.m.
- Days: Monday - Friday
- Shift Type: Day
- Weekends: None
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
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