business office specialist - Melbourne, United States - The Brevard Health Alliance Inc

Description

Job Description

Come launch the next step in your career where America launched its Space Program. Brevard Health Alliance, Brevard County's only Federally Qualified Health Center, is currently recruiting for a Business Office Specialist to join us in the heart of Brevard County's Space Coast. Since 2005 our focus has been on putting the "community" in Community Health while delivering healthcare to more than 60,000 unique patients annually.

Brevard Health Alliance offers competitive salaries, a comprehensive hiring package that includes Medical, Dental, Vision, Short and Long-term Disability Coverage and a 401K with company match, a generous personal leave program, a National Health Service Corps (NHSC) Approved Site for Loan Repayment and Qualified Employer for Public Service Loan Forgiveness, tuition assistance for continuing education, professional development, and the opportunity for upward mobility.

We are expanding, we are growing. If you would like the genuine opportunity to make a profound difference in the delivery of primary care and community health, we invite your interest and application after reviewing the specifics and requirements for the Business Office Specialist listed below.

POSITION SUMMARY

To provide superior quality, competitive value, and outstanding service through supporting the billing and collections functions of the Business Office. Communicates effectively with front office and clinical staff with issues related to billing functions, insurance training and general financial information.

GENERAL EDUCATION REQUIREMENTS

High School Diploma or General Equivalency/Educational Diploma (GED) with 5 years' experience in direct medical billing. Associate's Degree in Medical Billing and Coding preferred.

ADDITIONAL QUALIFICATIONS

• Proficient in all coding systems to include ICD-10, CPT-4, and Healthcare Common Procedure Coding System (HCPCS)

• Typing requirement of 40 words per minute

• Knowledge of Medical Terminology

• Knowledge of medical billing and coding practices in multiple specialties including Dental and Behavioral Health

• Knowledge of SMS Signature in order to troubleshoot Business Office operational problems

• Proficiency in using Electronic Medical Record or Electronic Health Record software, billing system

• Attention to accuracy and specific detail for competent performance

• Effective organizational skills to complete responsibilities in a timely manner

• Technical competency in the area of health care computer applications

• Strong verbal and written communication skills

• Ability to read and write at high school level

PRIMARY ACCOUNTABILITIES

• Determine insurance eligibility and accurately enter insurance information into Practice Management System (PMS); assists Patient Service Representatives in determining insurance coverage and with documentation in PMS

• Perform all posting functions from insurance companies and private payments for both medical and dental claims on a weekly basis

• Effectively communicate with various insurance companies regarding claim denials and issues related to insurance eligibility. Documents information in PMS via Financial Notes for traceability regarding claim status during posting process

• Review claims daily and communicate effectively with appropriate personnel regarding the claim process

• Determine reasons for payment denials from insurance companies and submit corrected claims and/or appeals

• Assist Patient Service Representatives and Patient Registration Counselors with correcting charge entry errors and determining insurance eligibility

• Responsible for all reporting as required by assigned insurance companies

• Communicate effectively with patients their financial responsibility; assist patients via phone with patient payments and coordinating payment posting with respective clinics

• Perform all functions regarding the process of batching and sending insurance claims electronically. Review and correct claims that error out during the batching process

• Answer telephones properly, courteously, and tactfully dealing with the public, physicians, and outside businesses

• Routes patients calls and complaints appropriately

• Deals with complaints and/or billing questions effectively.

• Assist with area clerical duties such as typing, photocopying, filing, scanning, and faxing documents, medical records, reports, and other materials

• Document calls, if necessary, in patient file. Respond to phone messages in a timely manner

• Prints, sorts, and organizes paperwork, reports and/or materials to be sent out. Prepares outgoing correspondence to include folding, stuffing, and postage stamping. Mails/sends out or distributes paperwork, reports and/or materials

• Verify address, phone number and insurance information are current in the Practice Management System when patients call regarding billing issues

• Performs other duties as requested by Business Office Manager and Director of Billing

• Takes ownership and represents Brevard Health Alliance's mission and organizational goals established by the executive committee. These include, but are not limited to: Productivity, Quality, Patient Satisfaction, and Employee Retention. It is the duty of each BHA employee to incorporate these goals into all daily work routines and strive to achieve and surpass all goals by working as a team. The mission and goals of BHA will be incorporated into each associate's Key Performance Indicators and will be evaluated on a monthly and quarterly basis.