Business Office Specialist

QUALIFICATIONS

High School Diploma preferred.

Medical Clerical experience preferred.

Strong communication skills required.

Knowledge of medical billing/collection practices preferred.

Experience in a surgical facility preferred.

Proficient in MS Office applications which include Outlook, Word, Excel and PowerPoint.

OCCUPATIONAL EXPOSURE

Office Environment

RESPONSIBILITIES:

Reception:

Admits patients to the Facility following the established policies and procedures.

Assembles patient medical record forms and prepares patient identification.

Assists Medical Billing Specialist in obtaining pertinent information to register patient and attaches proper means to document patient identity.

Provides pertinent information to the patient’s family in the waiting area according to policies and procedures.

Monitors waiting area.

Coordinates reception area activities for effective communication with all areas of the Facility.

Answers telephone and intercom courteously and in a quiet, pleasant voice.

Accepts and relays messages effectively.

Informs physician’s office of admissions and activities concerning admissions.

Distributes surgery schedule.

Maintains and protects each patient’s right to confidentiality.

Identifies emergencies and initiates appropriate response.

Assumes clerical duties and responsibilities as necessary.

Assists in ordering and stocking supplies.

Maintains order and cleanliness of the front desk.

Maintains position at front desk and coordinates breaks with other staff as needed to avoid unnecessary delays/disruptions for patients/visitors/staff.

Prepares all bank deposits following Facility cash controls as requested.

Coordinates obtaining diagnostic tests and places diagnostic test reports in appropriate section of patient medical record.

Generate and distribute physician medical record deficiencies at a minimum of once a month.

Complies with Facility practice standards regarding competent performance of duties.

Maintains patient confidentiality.

Supports other Facility personnel in the performance of their duties.

Adheres to attendance, punctuality, meal and break time period policies.

Completes work in an acceptable time frame and in an independent manner.

Carries out assigned duties in an effective, productive, and efficient manner.

Demonstrates a positive “can do” attitude.

Willingness to adjust schedule periodically as workload fluctuates and as department needs require.

Attends department meetings or documents review of materials presented in a timely manner.

Functions as a team member following the rules of engagement of the department and Facility.

Communicates information about patients, vendors, or other employees only as necessary to conduct Facility related business.

Adheres to strictest confidentiality in dealing with patients, families, Facility personnel, and the public.

Keeps supervisor apprised of work progress.

Has a proactive attitude about problem resolution.

Anticipates customers’ needs and provides for them as quickly as possible.

Models core values to co-workers continuously.

Follows facility and departmental safety policies and procedures.

Reports unsafe situations to supervisor.

Demonstrates knowledge of facility wide emergency management codes and plans.

Demonstrates knowledge of and participation in facility performance improvement program, infection control program and risk management program.

Demonstrates knowledge of cultural, spiritual, and aged related considerations when interacting/caring for patients.

Performs other duties as assigned.

Scheduling:

1. Considers priorities and special needs when scheduling preoperative appointments and
surgical procedures.

2. Schedules appointments and procedures according to policies on nursing and anesthesia
staff availability, patient needs and physician’s block time.

3. Coordinates surgical preoperative appointment schedule with clinical preoperative
activates.

4. Maintains schedule according to procedure and physician’s time and staffing requirements.

5. Coordinates schedule assessing time and equipment availability; identifies conflicts and
adjusts schedule as needed.

6. Prepares appointment schedule and Surgery Schedule for review by the Operating Room
Supervisor so that adjustments may be made as required.

7. Assumes clerical duties and responsibilities as necessary.

8. May open and distribute mail according to Facility policy.

9. May prepare bank deposits following Facility cash controls.

10. Coordinates obtaining diagnostic tests and places diagnostic test reports in appropriate section of patient medical record.

11. May perform duties of the admitting Receptionist and/or Biller as needed.

Insurance Verifications/Pre-Certification Responsibilities

12. Act as liaison between patient, physician office, and insurance company to assist
patients with regards to financial responsibility.

13. Notify all scheduled patients of their financial responsibility prior to their date of service.

14. Verify patient insurance eligibility and benefits using technology tools, the telephone and the internet to ensure compliance with the facilities policies and procedures.

15. Coordinate with insurance providers and the physician office to obtain pre-authorizations. Document the authorizations in the system patient accounts.

16. Obtain information for medical necessity determination and coordinate with the
physician office if additional information is needed.

17. Communicate with patients to obtain any missing information necessary to achieve financial
clearance.

18. Perform Benefit verifications on all new patients.

19. Obtains and verifies patient demographic and financial information

Medical Records Responsibilities

29. Check each medical record for completeness, marking and attaching a deficiency slip as needed.

30. Performs release of information functions as necessary, per facility policy, state and federal regulations, and HIPAA guidelines.

31. Maintain a log of record requests received, processed, and mailed out.

32. Assist Medical Staff with completion of medical records.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
• The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to

push/pull over 25 pounds on a regular basis.

• The employee must be able to stand and/or walk at least five hours per day.

WORK ENVIRONMENT:

· The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Types: Full-time, Part-time

Pay: $18.00 - $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

Salary : $18 - $23