Cedars-Sinai Biller/Collector III - Physician Billing Office in Torrance, California
The Biller/Collector III
efficiently and effectively bill and collect monies relative to physician
reimbursements. The Biller/Collector III works on specific types of
accounts (e.g. transplant cases, cardiothoracic surgeries and other advanced
type of special accounts, Prop 99, etc.) in a team environment to fulfill the
mission and goals of the Department. The Biller/Collector III will work
independently requiring little supervision from management to ensure the
integrity of the work performed.
Essential Job Duties:
Coordinate and follow through on the reimbursement activity for specific
patient accounts (e.g. Multi-specialty areas including, but not limited to,
OB/GYN, Hematology/Oncology, Cardiology, Orthopaedic, Urology, Neurology,
Transplant cases, etc).
Initiates proactive measures that result in account resolution.
Ensures all conditions for payment receipt have been satisfied, which includes,
but not limited to: accurate charges, patient insurance eligibility,
accurate financial class, patient benefit coverage,
authorization/certification/TAR information, patient responsibilities, claims
address, CPT-4 coding, as applicable, ICD-10 coding, as applicable
Responds timely and accurately to all incoming related correspondence and
inquires from payers, patients and other authorized parties. Reports any
trends in incoming 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. Evaluate
accounts to determine any write-offs or corrections required, including
duplicate charges. Submit bills to insurance for secondary insurance.
that all necessary documentation and information is correct according to
departmental policies and procedures. Ensure that all documentation
is complete for submission to determine ultimate action on patient account.
that all applicable monies are transferred from the hospital so that they may
be posted accordingly.
telephones, patient inquiries, and respond appropriately to written
correspondence relative to a patient’s account.
and prioritize incoming mail, resubmit denials with proper documentation
according to departmental policies and procedures.
correct initial subscriber billing information and update information in the
system as necessary.
refund request for any or all monies due to patient or insurance company as a
result off overpayments or forward requests to appropriate individual in charge
of processing refund requests.
adjustments to accounts in accordance with departmental policies and
to all phone calls from other departments or insurance companies in an
efficient and courteous manner.
teamwork and provide assistance with special projects when assigned.
correspondence and provide documentation for effective reimbursements.
for updating information within the Epic system (charges, adjustments,
write-offs, bad debt, refunds to patients/insurance companies, and professional
courtesies). Responsible for processing non-sufficient funds checks
and ensure follow-up with those patients in these categories.
Clearly document within the patient’s account, actions taken on the account and
any other follow-up that was done, including what the expected outcome should
Trains co-workers on advanced or specialized client and billing procedures, as
High school diploma or GED required.
Minimum five to seven (5-7) years of experience performing medical
billing functions. 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. Proven ability to handle multiple conflicting tasks.
Experience with online Accounts Receivable billing systems (Epic system
experience a plus). Knowledge of PC based software applications (e.g. Outlook,
Word, Excel, etc.). Ability to communicate effectively in both verbal and
written form. Ability to work in a changing environment and handle multiple
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.