Job Description
Business Office Specialist I Location Pensacola, FL (Sunny Ridge area) :
The Business Office Specialist is responsible for performing duties in multiple CBO departments including accounts receivable follow up, payment posting, and charge posting as well as completing critical special projects and presentations related to accounts receivable reporting. Responsibilities Investigates open items on the accounts receivable as identified by Leadership, that have aged beyond 30 days from the date submitted to the appropriate insurance carrier to facilitate claims adjudication. Contacts insurance carriers, patients and health care providers by telephone and correspondence to assist with claims adjudication. Reconciles account balances by posting, correcting and reapplying patient and insurance payments for assigned financial class. Posts the corresponding contractual adjustments to patient accounts to reconcile account balances. Investigates and resolves account denials by submitting appeals and following up on appeals as needed to support the denial team. Maintains accounts receivable database, including updating patient account information. Responsible for tracking and establishing trending of new issues which continuously occur with changes in industry. Performs charge entry duties as necessary based on departmental needs. Creates and presents comprehensive reports for management and providers including presentations of critical information related to financial data and process improvement. Thoroughly research, track, and establish trending of issues related to accounts receivable. Participates in meetings and communicates with insurance representatives addressing ongoing reimbursement issues on accounts receivable identified as high risk.Assist in other duties as assigned to support the operational needs of the department and organization. May be required to remain on campus immediately before, during, and after severe weather and/or disasters. Qualifications Minimum Education - High School Diploma or Equivalent Required
Minimum Work Experience - 1-3 years relevant revenue cycle experience Required
Required Skills, Knowledge and Abilities - Excellent customer service.
- Written and verbal communication skills.
- Knowledge of Medical terminology.
- Computer skills in EXCEL, WORD and other PC applications.
- Knowledge of coding.
- Knowledge of Medicare and health care financial regulations.
- Knowledge of collections process.
- Knowledge on patient privacy laws and regulations.
- Ability to data entry and 10 key calculator.
- Ability to work in face paced work environment and meets deadlines.
- Excellent organizational and time management skills.
- Ability to confirm to standards.
- Knowledge of billing process manage large data volume and audit techniques.
- Ability to work in team environment.
About Us Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.
Job Tags
Full time, Work experience placement, Immediate start,