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Form of workThe Physician Billing Coordinator II provides billing, coding and educational support to clinical areas in the scope of coding, reimbursement and compliance with payer coding and billing requirements. Coordinates some insurance information by verifying eligibility and the review charges in the EPIC Charge Review Workqueue.
Job Duties and Responsibilities:- Develops and maintains excellent working relationships with staff and providers. Serves as liaison between clinic and Physician Billing Services for which they are responsible for billing.
- Serves as a resource for information on coding, billing and compliance.
- Accurately reviews assignments of CPT and ICD-10 codes, utilizing various medical reports.
- Maintains current CPT and ICD-10 knowledge of assigned areas so that coding remain current.
- Verifies insurance eligibility, enters appropriate adjustments to respective patient's accounts and when applicable accepts patient payments.
- Works to resolve coding deficiencies with review of medical records and financial accounts and advises supervisor of possible recommendations for corrective action to improve third-party reimbursements and to minimize audit liability.
- Keeps apprised of rules and regulations affecting coding and reimbursement through appropriate resources.
- Initiates charge correction request process.
- Acts as a liaison between the patient and Physician Billing Services for billing inquires.
- Answer calls from patients for billing inquiries and insurance verification.
Education:
High school diploma or GED required.
Experience:Two to four (2-4) years of experience in a professional billing setting, including experience in reviewing and interpreting patient medical records using CPT and ICD-10CM coding systems. Knowledge of Physician Billing practices and third-party reimbursement guidelines and adjudication systems. EPIC experience highly preferred.
