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Cedars-Sinai Biller / Collector II Anesthesia - Billing Services in Los Angeles, California

The Biller/Collector II Anesthesia is responsible for timely and appropriate billing to and collection of monies from payors and/or patients. Efficiently and effectively bill and collect monies relative to physician reimbursements. In charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution. Will work with minimal supervision from management to ensure the integrity of the work performed.

Job Duties and Responsibilities:

  • Follows-up on all assigned accounts from within the IDX/PCS systems in accordance with pre-established goals

  • Initiates proactive measures that result in account resolution

  • Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect

  • Ensures that all conditions for payment receipt have been satisfied, which includes, but is not limited to: accurate charges and financial class; authorization/certification/TAR information; claims address; ICD-10 and CPT-4 coding; patient insurance eligibility, patient benefit coverage; patient responsibilities.

  • Responds timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties

  • Initiates contact with patients, as needed

  • Initiates recommendations and action plans for resolving accounts. Evaluates accounts to determine any write-offs or corrections required, including duplicate charges

  • Submits bills to insurance for secondary insurance

  • Prepares refund requests for any monies due to patient or insurance company

  • Responds to all phone calls from other departments or insurance companies in an efficient and friendly manner

  • Writes appropriate notes in IDX for every account, including any action taken

  • Handles in a professional and confidential manner all correspondence, documentation, and files

  • Reviews various reports to identify denials and edits; corrects claims; suggest action plans to eliminate these denials/edits in the future; determines appropriateness for appeal

  • Prepares write-offs requests for denied claims which cannot be appealed

  • Attempts to locate patient/guarantor through direct contact, letter, or other means

  • Speaks with patient/guarantor to find third party sponsorship, settlement, or to begin charity process

  • Investigates the possibility of Medi-Cal linkage

  • Establishes payment arrangements according to pre-set guidelines

  • Prepares correspondence to patient/guarantor, as necessary

  • Receives and answers inquiries or complaints concerning self-pay accounts; captures information for timely resolution of issues

  • Elevates issues, as appropriate, to the Supervisor

  • Meets daily and weekly efficiency standards

Education:

High school diploma or GED required.

Experience:

  • Three to five (3-5) years experience performing medical billing functions. Anesthesia experience needed.

  • Minimum experience includes 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 online Accounts Receivable billing systems (Epic system experience a plus). Knowledge of PC based software applications (e.g. Outlook, Word, Excel, etc.).

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.

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