Business Office Specialist

Job Details

Description

Business Office Specialist I/II - Bilingual Preferred

Kern Medical Surgery Center, LLC - Stockdale Clinics

BOS I - $21.00 - $25.8274 hourly

BOS II - $21.7563 - $26.7575 hourly

Under supervision, performs a wide variety of financial services activities, which may include: processing billings, collecting money and preparing deposits, resolving customer problems and providing customer service.

Distinguishing Characteristics

The Business Office Specialist I is the first level of the Business Office Specialist classification series. Incumbents have /healthcare knowledge and experience, and are expected to gain specific knowledge and proficiency in the revenue cycle. Assignments may be made in billing, reimbursement, contracts, or other related revenue areas. This classification is distinguished from Business Office Specialist II in that the latter performs more responsible, complex assignments. Promotion to Business Office Specialist II is based upon recommendation of the department head and approval of the Director of Personnel.

The Business Office Specialist II is the second level of the Business Office Specialist classification series. Incumbents have /healthcare knowledge and experience, and are expected to gain specific knowledge and proficiency in the revenue cycle. Assignments will be made in billing, reimbursement, contracts, or other related revenue areas. This classification is distinguished from Business Office Specialist I by performance of more responsible, complex assignments.

Responsibilities

• Verifies and processes a variety of financial documents in support of revenue cycle activities.
• Analyzes and reconciles account activity to determine necessary action or corrections; obtains necessary information to resolve identified issues.
• Enters a variety of fiscally related information into databases; maintains fiscal records and files; documents all follow-up pertaining to account resolution within information systems patient financial record.
• Responds to requests for information and inquiries related to revenue cycle programs, processes, policies, and/or other related information; researches customer discrepancies; resolves customer problems.
• Collects payments; receives, processes, and post electronic and manual payments; collects outstanding balances from all payers.
• Researches, reviews, and adheres to all federal. State, and local regulatory billing and collection follow-up guidelines, as well as payer specific guidelines.
• Checks status of claims; identifies and evaluates follow-up problems and issues through receivable work stations; obtains and assembles documentation required for accurate follow-up.
• Investigates claim data to identify and correct payment errors; reviews remittance codes from EOB’s and RA’s to ensure appropriate payment and identify denials or non-payment; directs credit balances and refunds to appropriate department for resolution.
• Performs various adjustments to accounts.
• Compiles and maintains financial and statistical data records; prepares and distributes related reports.
• Performs general clerical duties, which may include opening, sorting, and distributing mail; preparing mailings; maintaining office supplies; filing; and performing other related activities.
• Handles patient correspondence.
• Assists customers with questions and directions; answers and directs telephone calls accordingly.
• Prepares documents for electronic scanning; performs scanning as assigned.
• Files a variety of materials; retrieves files and provides information from files as directed; maintains logs.
• Performs other related duties as assigned.
  
  

In addition to the above Business Office Specialist II is responsible for:

• Assists with staff training, development, and mentoring as assigned.
  
  

Qualifications

Business Office Specialist I

High School Diploma, G.E.D. or equivalent and one (1) year of experience in medical billing, or related fiscal experience in a medical setting OR an equivalent combination of education, training, and experience sufficient to successfully perform the essential duties of the job.

Business Office Specialist II

High School diploma or GED and two (2) years of experience in medical billing, or related fiscal experience in a medical setting OR an equivalent combination of education, training, and experience sufficient to successfully perform the essential duties of the job.

• Background Check: A background check will be conducted for candidates applying for this classification. This is to ensure compliance with organizational policies and regulations.
  
  

These requirements outline the necessary qualifications, certifications, knowledge, and abilities expected from candidates applying for the (Front/Back Office) Medical Assistant position in an outpatient office. Adhering to these requirements ensures the competency and compliance of individuals in providing patient care and maintaining a safe and efficient healthcare environment.