BUSINESS OFFICE SPECIALIST

POSITION SUMMARY

Responsible for keeping the Business Office fiscally sound. This includes keeping all finances for the department within the Board approved budget and working with Administration to resolve any problems. Supervises operating functions in the Business Office. Examines work for exactness, neatness, and conformance to policies and procedures.

SUPERVISOR

Revenue Cycle Manager

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• To perform this job successfully, an individual must be able to perform each key function satisfactorily.
• Each category will be assessed on performance measurements of appropriateness, efficiency, effectiveness, and timeliness.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.

Job Functions

• Responsible for all insurance precertification, prior authorizations, and referrals for patient services and/or procedures.
• Serves as a backup for posting all patient information, daily charges, and receipts to bill for services.
• Works credit balances and prepares receipts for deposit.
• Serves as the troubleshooter and assists patients with problems on accounts.
• Ensures all accuracy and appropriate delegation of charges i.e. Medicare, Etc.
• Assists Revenue Cycle Manager with daily responsibilities.
• Responsible for taking payments, collections, and building charges.
• Assist registration, charge posting, and medical records, as necessary.
• Prepares and monitors daily charge reports.
• Other duties as assigned. The preceding list of essential functions is not exhaustive and may be supplemented.

ADDITIONAL RESPONSIBILITIES

• Comply with HIPAA regulatory requirements.
• Adhere to the hospital’s philosophy, mission, and policies and procedures.

POSITION QUALIFICATIONS

MINIMUM QUALIFICATIONS

• Basic computer skills using Microsoft Word and Excel
• Familiar with medical terminology
• Ability to use independent judgment and import confidential information.
• Must possess superb organizational skills
• Must have excellent oral and written communication skills
• Must have the ability to identify and work to solve problems as they arise
• Must be motivated as well as a self-starter who can work independently; however capable to take direction as appropriate
• Must have excellent interpersonal skills and work effectively and efficiently with healthcare professionals both in and out of the hospital environment.

EDUCATION AND/OR EXPERIENCE

• High school diploma or equivalent. Business management degree preferred.
• A minimum of two (2) years previous experience in a hospital Business Office required.
• Supervisory experience required.
• Must have experience with accounts payable and accounts receivable.
• Knowledge of office skills and able to multi-task.

LICENSURE/CERTIFICATION

• None

LANGUAGE SKILLS

• English is the primary language of the Hospital.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures or governmental regulations.
• Ability to effectively present information and respond to questions from groups of board members, managers, physicians, clients, customers, employees, and the public.

MATHEMATICAL SKILLS

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals.
• Ability to compute ratio, percent, rate, as well as the ability to create and interpret graphs.

REASONING ABILITY

• Ability to apply common sense understanding to carry out instruction furnished in written, oral, and/or diagram form.
• Ability to define and solve problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in statistical or diagram form and deal with several abstract and concrete variables.

INTERPERSONAL SKILLS

• Demonstrates active listening techniques.
• Gains support through effective relationships.
• Treats others with dignity and respect; seeks feedback.
• Always demonstrates honesty and integrity in care and use of patient and hospital property.
• Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
• Demonstrates respect for co-workers and responds to the needs of patients by complying with hospital policies.

CONTINUING EDUCATION

• Attend in-service training sessions, facility meetings, and continuing educational opportunities appropriate to responsibilities.
• Attend continuing education required for maintenance of professional certification or licensure as needed.